Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,748.00 / $7,292.05	Facility		$749.00	$3,748.00	$7,292.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.14 / $790.63 / $1,457.75	Professional		$615.14	$790.63	$1,457.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $771.38 / $771.38 / $771.38	Professional		$771.38	$771.38	$771.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $860.48 / $892.95 / $1,591.49	Professional		$860.48	$892.95	$1,591.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.87 / $874.77 / $1,570.06	Professional		$645.87	$874.77	$1,570.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.38 / $1,326.06 / $1,367.96	Professional		$1,031.38	$1,326.06	$1,367.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.43 / $4,103.41 / $8,211.74	Facility		$1,208.43	$4,103.41	$8,211.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.45 / $780.88 / $1,466.59	Professional		$677.45	$780.88	$1,466.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $790.63 / $3,964.00 / $7,799.00	Facility		$790.63	$3,964.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $639.21 / $838.06 / $1,898.45	Professional		$639.21	$838.06	$1,898.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $666.95 / $870.82 / $1,239.77	Professional		$666.95	$870.82	$1,239.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.28 / $1,195.28 / $1,195.28	Facility		$1,195.28	$1,195.28	$1,195.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $682.69 / $892.95 / $1,631.68	Professional		$682.69	$892.95	$1,631.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $687.03 / $704.33 / $840.37	Facility		$687.03	$704.33	$840.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $686.91 / $822.06 / $896.58	Professional		$686.91	$822.06	$896.58
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.72 / $912.83 / $1,603.06	Professional		$746.72	$912.83	$1,603.06