Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.71 / $744.71 / $2,882.03	Facility		$744.71	$744.71	$2,882.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.30 / $788.51 / $963.61	Professional		$686.30	$788.51	$963.61
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 $1,269.80 / $1,667.60 / $1,667.60	Professional		$1,269.80	$1,667.60	$1,667.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,818.60	Facility		$926.75	$926.75	$1,818.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,926.38	Professional		$787.74	$787.74	$1,926.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.11 / $1,818.60 / $3,455.34	Professional		$1,673.11	$1,818.60	$3,455.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,117.93 / $4,117.93 / $4,117.93	Facility		$4,117.93	$4,117.93	$4,117.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $744.71 / $744.71 / $2,882.03	Facility		$744.71	$744.71	$2,882.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $668.32 / $788.51 / $1,146.55	Professional		$668.32	$788.51	$1,146.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.90 / $2,593.10 / $3,583.00	Professional		$2,254.90	$2,593.10	$3,583.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,818.60	Facility		$926.75	$926.75	$1,818.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,926.38	Professional		$787.74	$787.74	$1,926.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,192.25 / $1,587.25 / $1,587.25	Facility		$1,192.25	$1,587.25	$1,587.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,192.25 / $1,587.25 / $1,730.97	Professional		$1,192.25	$1,587.25	$1,730.97
United Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $977.76 / $1,457.02	Professional		$751.91	$977.76	$1,457.02