Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $565.82 / $2,189.71	Facility		$565.82	$565.82	$2,189.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.84 / $599.11 / $772.04	Professional		$495.84	$599.11	$772.04
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 $964.78 / $1,267.04 / $1,267.04	Professional		$964.78	$1,267.04	$1,267.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,267.04	Facility		$724.63	$724.63	$1,267.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $1,109.46	Professional		$528.98	$528.98	$1,109.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.68 / $1,267.04 / $2,407.38	Professional		$1,165.68	$1,267.04	$2,407.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.57 / $950.28 / $950.28	Professional		$855.57	$950.28	$950.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $565.82 / $2,189.71	Facility		$565.82	$565.82	$2,189.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $495.83 / $599.11 / $1,029.79	Professional		$495.83	$599.11	$1,029.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $1,728.10 / $2,496.30	Professional		$686.00	$1,728.10	$2,496.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,267.04	Facility		$724.63	$724.63	$1,267.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $1,504.88	Professional		$528.98	$528.98	$1,504.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $905.88 / $1,205.98 / $1,205.98	Facility		$905.88	$1,205.98	$1,205.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $905.88 / $1,205.98 / $1,235.59	Professional		$905.88	$1,205.98	$1,235.59
United Facility/Professional Professional Modifier Low / Median / High Price $571.30 / $705.85 / $1,107.03	Professional		$571.30	$705.85	$1,107.03