Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.35 / $448.35 / $1,735.11	Facility		$448.35	$448.35	$1,735.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.18 / $474.72 / $630.42	Professional		$413.18	$474.72	$630.42
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 $764.47 / $1,003.96 / $1,003.96	Professional		$764.47	$1,003.96	$1,003.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,102.59	Facility		$765.11	$765.11	$1,102.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $965.47	Professional		$558.53	$558.53	$965.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.39 / $1,102.59 / $2,094.94	Professional		$1,014.39	$1,102.59	$2,094.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.93 / $677.93 / $677.93	Professional		$677.93	$677.93	$677.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $448.35 / $448.35 / $1,735.11	Facility		$448.35	$448.35	$1,735.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $474.72 / $751.06	Professional		$420.36	$474.72	$751.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.10 / $1,572.20 / $2,172.30	Professional		$1,367.10	$1,572.20	$2,172.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,102.59	Facility		$765.11	$765.11	$1,102.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $1,371.00	Professional		$558.53	$558.53	$1,371.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $717.79 / $955.59 / $955.59	Facility		$717.79	$955.59	$955.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $717.79 / $955.59 / $1,125.77	Professional		$717.79	$955.59	$1,125.77
United Facility/Professional Professional Modifier Low / Median / High Price $478.54 / $584.79 / $877.19	Professional		$478.54	$584.79	$877.19