Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,610.21 / $5,147.07	Facility		$144.00	$1,610.21	$5,147.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $346.51 / $673.28	Professional		$72.17	$346.51	$673.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $114.23 / $114.23	Professional		$114.23	$114.23	$114.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $639.29 / $1,049.33	Professional		$314.27	$639.29	$1,049.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $356.08 / $856.62	Professional		$91.38	$356.08	$856.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.29 / $577.54 / $1,355.74	Professional		$560.29	$577.54	$1,355.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $753.74 / $1,784.63	Facility		$140.54	$753.74	$1,784.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $91.43 / $91.43	Professional		$91.43	$91.43	$91.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,357.00 / $5,868.00	Facility		$144.00	$1,357.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $336.27 / $1,025.92	Professional		$75.76	$336.27	$1,025.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $487.27 / $739.20	Professional		$102.51	$487.27	$739.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $379.10 / $867.43	Professional		$91.56	$379.10	$867.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $80.41 / $96.77 / $564.58	Facility		$80.41	$96.77	$564.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $369.59 / $408.70	Professional		$80.41	$369.59	$408.70
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $614.85 / $1,008.02	Professional		$428.97	$614.85	$1,008.02