Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.25 / $834.25 / $3,228.55	Facility		$834.25	$834.25	$3,228.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.06 / $883.32 / $1,219.97	Professional		$731.06	$883.32	$1,219.97
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 $1,422.47 / $1,868.10 / $1,868.10	Professional		$1,422.47	$1,868.10	$1,868.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,868.10	Facility		$1,167.30	$1,167.30	$1,868.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,635.78	Professional		$852.13	$852.13	$1,635.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.65 / $1,868.10 / $3,549.39	Professional		$1,718.65	$1,868.10	$3,549.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.43 / $1,261.43 / $1,261.43	Professional		$1,261.43	$1,261.43	$1,261.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $834.25 / $834.25 / $3,228.55	Facility		$834.25	$834.25	$3,228.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $731.06 / $916.03 / $1,518.34	Professional		$731.06	$916.03	$1,518.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.19 / $2,663.70 / $3,680.50	Professional		$2,316.19	$2,663.70	$3,680.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,868.10	Facility		$1,167.30	$1,167.30	$1,868.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $2,803.50	Professional		$852.13	$852.13	$2,803.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,335.62 / $1,778.09 / $1,778.09	Facility		$1,335.62	$1,778.09	$1,778.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,335.62 / $1,778.09 / $2,301.83	Professional		$1,335.62	$1,778.09	$2,301.83
United Facility/Professional Professional Modifier Low / Median / High Price $873.75 / $1,120.85 / $1,684.67	Professional		$873.75	$1,120.85	$1,684.67