Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $1,499.00 / $6,432.00	Facility		$175.32	$1,499.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $177.77 / $421.78	Professional		$105.83	$177.77	$421.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
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 $188.95 / $196.08 / $196.08	Professional		$188.95	$196.08	$196.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $177.60 / $303.52	Professional		$112.21	$177.60	$303.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $291.05 / $299.56	Professional		$226.37	$291.05	$299.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $840.26 / $1,115.01	Facility		$291.89	$840.26	$1,115.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $188.53 / $216.21	Professional		$158.07	$188.53	$216.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,777.00 / $7,197.00	Facility		$480.00	$1,777.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $181.81 / $451.31	Professional		$109.87	$181.81	$451.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $168.30 / $265.33	Professional		$114.98	$168.30	$265.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $206.47 / $206.47	Facility		$206.47	$206.47	$206.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $184.58 / $340.46	Professional		$115.77	$184.58	$340.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $126.17 / $187.06	Facility		$118.46	$126.17	$187.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $169.85 / $200.47	Professional		$118.34	$169.85	$200.47
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 $160.34 / $196.08 / $353.25	Professional		$160.34	$196.08	$353.25