Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.03 / $1,544.00 / $6,012.00	Facility		$202.03	$1,544.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $111.31 / $206.84	Professional		$58.97	$111.31	$206.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.65 / $178.65 / $178.65	Professional		$178.65	$178.65	$178.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $186.14 / $204.00	Professional		$118.82	$186.14	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $117.70 / $209.99	Professional		$60.08	$117.70	$209.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $181.97 / $187.03	Professional		$141.53	$181.97	$187.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,091.42 / $1,717.93 / $2,757.00	Facility		$1,091.42	$1,717.93	$2,757.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $116.89 / $138.69	Professional		$110.50	$116.89	$138.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,266.00 / $7,799.00	Facility		$490.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $121.72 / $275.74	Professional		$59.07	$121.72	$275.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $107.50 / $113.00	Professional		$107.50	$107.50	$113.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $103.85 / $103.85	Facility		$103.85	$103.85	$103.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $119.54 / $238.22	Professional		$60.88	$119.54	$238.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $81.96 / $120.84	Facility		$59.34	$81.96	$120.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $116.80 / $127.03	Professional		$59.34	$116.80	$127.03
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,219.00 / $4,300.00	Facility		$412.00	$1,219.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $131.49 / $234.28	Professional		$106.81	$131.49	$234.28