Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.24 / $577.24 / $2,233.92	Facility		$577.24	$577.24	$2,233.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.79 / $611.20 / $775.39	Professional		$489.79	$611.20	$775.39
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 $984.26 / $1,292.60 / $1,292.60	Professional		$984.26	$1,292.60	$1,292.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,251.57	Facility		$895.43	$895.43	$1,251.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $1,095.92	Professional		$653.66	$653.66	$1,095.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.44 / $1,251.57 / $2,377.98	Professional		$1,151.44	$1,251.57	$2,377.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.83 / $872.83 / $904.83	Professional		$872.83	$872.83	$904.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $577.24 / $577.24 / $2,233.92	Facility		$577.24	$577.24	$2,233.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $488.45 / $611.20 / $1,050.58	Professional		$488.45	$611.20	$1,050.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.70 / $1,707.00 / $2,465.80	Professional		$847.70	$1,707.00	$2,465.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,251.57	Facility		$895.43	$895.43	$1,251.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $1,604.63	Professional		$653.66	$653.66	$1,604.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $617.65 / $617.65 / $1,230.32	Facility		$617.65	$617.65	$1,230.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $617.65 / $1,230.32 / $1,254.93	Professional		$617.65	$1,230.32	$1,254.93
United Facility/Professional Professional Modifier Low / Median / High Price $582.83 / $738.15 / $1,165.67	Professional		$582.83	$738.15	$1,165.67