Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.03 / $2,136.00 / $7,409.99	Facility		$377.03	$2,136.00	$7,409.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.74 / $368.42 / $706.40	Professional		$239.74	$368.42	$706.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $389.46 / $389.46	Professional		$389.46	$389.46	$389.46
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 $411.95 / $427.49 / $674.59	Professional		$411.95	$427.49	$674.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $408.06 / $736.53	Professional		$273.62	$408.06	$736.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.04 / $635.19 / $654.73	Professional		$494.04	$635.19	$654.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $1,651.52 / $2,921.40	Facility		$741.89	$1,651.52	$2,921.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $410.63 / $446.78	Professional		$263.72	$410.63	$446.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,142.00 / $7,409.99	Facility		$594.00	$3,142.00	$7,409.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.74 / $389.93 / $838.17	Professional		$239.74	$389.93	$838.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $413.70 / $588.14	Professional		$260.58	$413.70	$588.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $468.80 / $468.80 / $468.80	Facility		$468.80	$468.80	$468.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $420.70 / $781.74	Professional		$273.85	$420.70	$781.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $319.66 / $411.84	Facility		$270.20	$319.66	$411.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $402.36 / $440.59	Professional		$270.20	$402.36	$440.59
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $557.00 / $3,742.00	Facility		$144.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.41 / $450.04 / $770.80	Professional		$357.41	$450.04	$770.80