Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $2,070.00 / $7,629.00	Facility		$165.27	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $155.41 / $285.72	Professional		$101.09	$155.41	$285.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $223.02 / $223.02	Professional		$223.02	$223.02	$223.02
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 $176.37 / $183.03 / $301.47	Professional		$176.37	$183.03	$301.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $171.84 / $290.10	Professional		$107.85	$171.84	$290.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.17 / $271.50 / $279.47	Professional		$211.17	$271.50	$279.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $175.87 / $198.90	Professional		$163.50	$175.87	$198.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,266.00 / $8,017.00	Facility		$536.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $165.18 / $307.39	Professional		$105.45	$165.18	$307.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $162.19 / $247.50	Professional		$111.51	$162.19	$247.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $200.21 / $200.21	Facility		$200.21	$200.21	$200.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $173.88 / $317.73	Professional		$111.51	$173.88	$317.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $114.82 / $174.58	Facility		$114.68	$114.82	$174.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $157.38 / $186.94	Professional		$114.68	$157.38	$186.94
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 $151.53 / $184.03 / $341.64	Professional		$151.53	$184.03	$341.64