Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.17 / $397.74 / $397.74	Facility		$331.17	$397.74	$397.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $363.64 / $1,039.02	Professional		$311.00	$363.64	$1,039.02
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 $564.67 / $741.58 / $741.58	Professional		$564.67	$741.58	$741.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $794.71	Facility		$451.71	$451.71	$794.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $695.87	Professional		$383.95	$383.95	$695.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $731.13 / $794.71 / $1,509.95	Professional		$731.13	$794.71	$1,509.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.52 / $1,660.52 / $1,660.52	Facility		$1,660.52	$1,660.52	$1,660.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.17 / $700.00 / $3,885.00	Facility		$331.17	$700.00	$3,885.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $363.64 / $1,039.02	Professional		$311.00	$363.64	$1,039.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $1,083.90 / $1,565.70	Professional		$538.20	$1,083.90	$1,565.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $794.71	Facility		$451.71	$451.71	$794.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $1,107.75	Professional		$383.95	$383.95	$1,107.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $512.83 / $705.85	Facility		$512.83	$512.83	$705.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.83 / $705.85 / $756.41	Professional		$512.83	$705.85	$756.41
United Facility/Professional Professional Modifier Low / Median / High Price $346.86 / $433.08 / $668.77	Professional		$346.86	$433.08	$668.77