Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.58 / $863.58 / $3,342.05	Facility		$863.58	$863.58	$3,342.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.77 / $914.38 / $1,253.18	Professional		$756.77	$914.38	$1,253.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,472.50 / $1,933.80 / $1,933.80	Professional		$1,472.50	$1,933.80	$1,933.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,933.80	Facility		$1,226.77	$1,226.77	$1,933.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,693.30	Professional		$895.54	$895.54	$1,693.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.10 / $1,933.80 / $3,674.22	Professional		$1,779.10	$1,933.80	$3,674.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.66 / $1,353.66 / $1,353.66	Professional		$1,353.66	$1,353.66	$1,353.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $863.58 / $863.58 / $3,342.05	Facility		$863.58	$863.58	$3,342.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $756.76 / $944.24 / $1,571.72	Professional		$756.76	$944.24	$1,571.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.80 / $2,637.40 / $3,809.90	Professional		$1,309.80	$2,637.40	$3,809.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,933.80	Facility		$1,226.77	$1,226.77	$1,933.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $2,241.75	Professional		$895.54	$895.54	$2,241.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $924.07 / $924.07 / $1,840.62	Facility		$924.07	$924.07	$1,840.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $924.07 / $1,840.62 / $1,840.62	Professional		$924.07	$1,840.62	$1,840.62
United Facility/Professional Professional Modifier Low / Median / High Price $908.12 / $1,077.31 / $1,689.60	Professional		$908.12	$1,077.31	$1,689.60