Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $1,668.23 / $7,197.00	Facility		$309.64	$1,668.23	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $301.75 / $601.46	Professional		$200.42	$301.75	$601.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.16 / $324.16 / $324.16	Professional		$324.16	$324.16	$324.16
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 $344.01 / $356.99 / $565.54	Professional		$344.01	$356.99	$565.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $337.84 / $555.39	Professional		$221.05	$337.84	$555.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $414.17 / $532.51 / $548.88	Professional		$414.17	$532.51	$548.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $825.76 / $1,766.93	Facility		$301.58	$825.76	$1,766.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $339.52 / $349.33	Professional		$320.95	$339.52	$349.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $330.56 / $2,450.00 / $8,017.00	Facility		$330.56	$2,450.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $320.64 / $981.76	Professional		$206.12	$320.64	$981.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $304.95 / $492.68	Professional		$215.40	$304.95	$492.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $386.23 / $386.23 / $386.23	Facility		$386.23	$386.23	$386.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $226.17 / $347.19 / $625.09	Professional		$226.17	$347.19	$625.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.81 / $227.45 / $345.27	Facility		$224.81	$227.45	$345.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $294.70 / $370.56	Professional		$224.62	$294.70	$370.56
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 $293.27 / $377.00 / $619.60	Professional		$293.27	$377.00	$619.60