Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.20 / $454.20 / $1,757.75	Facility		$454.20	$454.20	$1,757.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.15 / $480.92 / $668.46	Professional		$403.15	$480.92	$668.46
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 $774.46 / $1,017.08 / $1,017.08	Professional		$774.46	$1,017.08	$1,017.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,060.28	Facility		$583.49	$583.49	$1,060.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $928.42	Professional		$425.95	$425.95	$928.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $975.46 / $1,060.28 / $2,014.53	Professional		$975.46	$1,060.28	$2,014.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.79 / $711.96 / $724.80	Professional		$686.79	$711.96	$724.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $454.20 / $454.20 / $1,757.75	Facility		$454.20	$454.20	$1,757.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $414.93 / $498.73 / $826.64	Professional		$414.93	$498.73	$826.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $718.10 / $1,446.10 / $2,088.90	Professional		$718.10	$1,446.10	$2,088.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,060.28	Facility		$583.49	$583.49	$1,060.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $1,082.63	Professional		$425.95	$425.95	$1,082.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $486.02 / $486.02 / $968.07	Facility		$486.02	$486.02	$968.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $486.02 / $968.07 / $1,009.19	Professional		$486.02	$968.07	$1,009.19
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $465.86 / $560.21 / $917.21	Professional		$465.86	$560.21	$917.21