Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $836.51 / $3,873.00	Facility		$288.18	$836.51	$3,873.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $274.45 / $516.28	Professional		$170.94	$274.45	$516.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $187.27 / $280.63	Professional		$187.27	$187.27	$280.63
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 $306.56 / $318.13 / $318.13	Professional		$306.56	$318.13	$318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $299.79 / $494.41	Professional		$191.17	$299.79	$494.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.03 / $474.47 / $489.01	Professional		$369.03	$474.47	$489.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.52 / $810.75 / $1,772.86	Facility		$401.52	$810.75	$1,772.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $287.48 / $351.52	Professional		$194.55	$287.48	$351.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $292.93 / $1,051.72 / $4,761.00	Facility		$292.93	$1,051.72	$4,761.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $286.87 / $540.54	Professional		$178.96	$286.87	$540.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $262.60 / $437.85	Professional		$187.27	$262.60	$437.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $335.98 / $335.98	Facility		$335.98	$335.98	$335.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $300.93 / $549.91	Professional		$196.13	$300.93	$549.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.68 / $194.64 / $306.56	Facility		$193.68	$194.64	$306.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $269.25 / $329.01	Professional		$193.62	$269.25	$329.01
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 $254.98 / $328.55 / $561.77	Professional		$254.98	$328.55	$561.77