Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.73 / $832.44 / $4,150.22	Facility		$226.73	$832.44	$4,150.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $236.00 / $497.04	Professional		$129.66	$236.00	$497.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.31 / $419.31 / $419.31	Professional		$419.31	$419.31	$419.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $255.06 / $264.68 / $423.07	Professional		$255.06	$264.68	$423.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $240.28 / $411.95	Professional		$143.72	$240.28	$411.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.56 / $396.72 / $409.08	Professional		$308.56	$396.72	$409.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $931.42 / $1,567.88	Facility		$282.70	$931.42	$1,567.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $256.17 / $343.47	Professional		$130.97	$256.17	$343.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $1,035.00 / $5,350.00	Facility		$246.77	$1,035.00	$5,350.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $246.77 / $591.91	Professional		$136.13	$246.77	$591.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $225.30 / $369.01	Professional		$136.88	$225.30	$369.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $245.62 / $245.62	Facility		$245.62	$245.62	$245.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $240.62 / $422.12	Professional		$143.74	$240.62	$422.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $156.08 / $255.88	Facility		$140.80	$156.08	$255.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $221.94 / $275.49	Professional		$140.79	$221.94	$275.49
United Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $1,043.98 / $3,742.00	Facility		$364.00	$1,043.98	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.92 / $270.99 / $482.33	Professional		$210.92	$270.99	$482.33