Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.74 / $2,331.57 / $6,432.00	Facility		$597.74	$2,331.57	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $718.40 / $1,565.81	Professional		$575.12	$718.40	$1,565.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $716.54 / $716.54	Professional		$716.54	$716.54	$716.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $4,354.00 / $8,459.92	Facility		$1,824.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $732.95 / $747.32 / $747.32	Professional		$732.95	$747.32	$747.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.05 / $781.28 / $1,361.87	Professional		$606.05	$781.28	$1,361.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $907.33 / $1,166.56 / $1,201.72	Professional		$907.33	$1,166.56	$1,201.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,758.12 / $4,478.70 / $7,883.74	Facility		$2,758.12	$4,478.70	$7,883.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.17 / $737.65 / $885.18	Professional		$650.17	$737.65	$885.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $694.20 / $3,623.00 / $7,606.34	Facility		$694.20	$3,623.00	$7,606.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $597.74 / $767.98 / $1,775.28	Professional		$597.74	$767.98	$1,775.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $625.02 / $794.00 / $1,086.63	Professional		$625.02	$794.00	$1,086.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.17 / $1,120.17 / $1,120.17	Facility		$1,120.17	$1,120.17	$1,120.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $795.86 / $1,465.60	Professional		$615.36	$795.86	$1,465.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $644.99 / $662.30 / $749.43	Facility		$644.99	$662.30	$749.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $644.25 / $729.82 / $794.21	Professional		$644.25	$729.82	$794.21
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 $648.05 / $812.50 / $1,427.78	Professional		$648.05	$812.50	$1,427.78