Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.44 / $1,486.00 / $6,432.00	Facility		$214.44	$1,486.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $196.29 / $570.35	Professional		$109.01	$196.29	$570.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.64 / $410.64 / $410.64	Professional		$410.64	$410.64	$410.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $5,044.89	Facility		$950.40	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $228.27 / $236.89 / $236.89	Professional		$228.27	$236.89	$236.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $231.39 / $409.26	Professional		$144.88	$231.39	$409.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.76 / $351.97 / $363.44	Professional		$273.76	$351.97	$363.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.94 / $1,477.58 / $2,496.23	Facility		$823.94	$1,477.58	$2,496.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $123.99 / $123.99	Professional		$123.99	$123.99	$123.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $225.92 / $1,825.00 / $6,500.00	Facility		$225.92	$1,825.00	$6,500.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $218.76 / $867.62	Professional		$126.41	$218.76	$867.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.29 / $1,196.29 / $1,196.29	Facility		$1,196.29	$1,196.29	$1,196.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $224.50 / $236.60	Professional		$224.50	$224.50	$236.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $261.81	Facility		$261.81	$261.81	$261.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $233.16 / $421.03	Professional		$148.68	$233.16	$421.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $149.62 / $218.96 / $248.72	Facility		$149.62	$218.96	$248.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $219.62 / $239.65	Professional		$149.62	$219.62	$239.65
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $577.00 / $3,742.00	Facility		$144.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.27 / $254.13 / $443.54	Professional		$203.27	$254.13	$443.54