Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.97 / $769.54 / $3,275.60	Facility		$287.97	$769.54	$3,275.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $269.77 / $589.38	Professional		$160.47	$269.77	$589.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
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 $301.27 / $434.18 / $492.05	Professional		$301.27	$434.18	$492.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $290.64 / $485.95	Professional		$183.78	$290.64	$485.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $362.64 / $466.25 / $480.45	Professional		$362.64	$466.25	$480.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.45 / $899.14 / $1,790.81	Facility		$403.45	$899.14	$1,790.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $302.91 / $351.94	Professional		$195.32	$302.91	$351.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $287.97 / $1,070.78 / $5,342.00	Facility		$287.97	$1,070.78	$5,342.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $283.23 / $636.00	Professional		$168.37	$283.23	$636.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $258.52 / $427.80	Professional		$183.78	$258.52	$427.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $329.62 / $329.62	Facility		$329.62	$329.62	$329.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $294.66 / $531.10	Professional		$189.86	$294.66	$531.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.53 / $189.43 / $300.39	Facility		$181.53	$189.43	$300.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $257.89 / $322.44	Professional		$184.82	$257.89	$322.44
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.04 / $316.49 / $553.16	Professional		$250.04	$316.49	$553.16