Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.58 / $1,426.00 / $4,866.00	Facility		$616.58	$1,426.00	$4,866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.72 / $632.52 / $990.45	Professional		$317.72	$632.52	$990.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $415.55 / $630.59 / $1,143.38	Professional		$415.55	$630.59	$1,143.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $664.11 / $1,135.85	Professional		$626.16	$664.11	$1,135.85
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 $665.15 / $736.44 / $1,178.13	Professional		$665.15	$736.44	$1,178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.59 / $623.66 / $1,065.48	Professional		$331.59	$623.66	$1,065.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $798.84 / $1,057.53	Professional		$24.00	$798.84	$1,057.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $1,367.03 / $3,135.26	Facility		$684.12	$1,367.03	$3,135.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.06 / $620.66 / $786.00	Professional		$335.06	$620.66	$786.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $692.96 / $1,135.85	Professional		$626.16	$692.96	$1,135.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $643.03 / $1,770.57 / $6,432.00	Facility		$643.03	$1,770.57	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $638.28 / $1,267.54	Professional		$330.12	$638.28	$1,267.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $658.20 / $935.50	Professional		$332.44	$658.20	$935.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $600.04 / $600.04	Facility		$600.04	$600.04	$600.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $627.50 / $1,193.80	Professional		$332.44	$627.50	$1,193.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $345.77 / $424.73 / $655.93	Facility		$345.77	$424.73	$655.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $345.77 / $644.87 / $703.71	Professional		$345.77	$644.87	$703.71
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.94 / $713.46 / $1,249.01	Professional		$577.94	$713.46	$1,249.01