Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.05 / $544.05 / $2,105.51	Facility		$544.05	$544.05	$2,105.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $576.07 / $764.91	Professional		$533.40	$576.07	$764.91
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 $927.68 / $1,218.30 / $1,218.30	Professional		$927.68	$1,218.30	$1,218.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,493.42	Facility		$930.44	$930.44	$1,493.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $1,344.99	Professional		$679.22	$679.22	$1,344.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.13 / $1,536.01 / $2,918.42	Professional		$1,413.13	$1,536.01	$2,918.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $822.65 / $822.65	Professional		$822.65	$822.65	$822.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $544.05 / $544.05 / $2,105.51	Facility		$544.05	$544.05	$2,105.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $597.40 / $990.19	Professional		$533.40	$597.40	$990.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.40 / $2,094.90 / $3,026.20	Professional		$1,040.40	$2,094.90	$3,026.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,493.42	Facility		$930.44	$930.44	$1,493.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $1,618.88	Professional		$679.22	$679.22	$1,618.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $582.17 / $582.17 / $1,159.59	Facility		$582.17	$582.17	$1,159.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $582.17 / $1,159.59 / $1,462.00	Professional		$582.17	$1,159.59	$1,462.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.34 / $686.64 / $1,064.45	Professional		$549.34	$686.64	$1,064.45