Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.87 / $2,505.00 / $6,432.00	Facility		$252.87	$2,505.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $148.25 / $260.35	Professional		$73.66	$148.25	$260.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $57.19 / $57.19	Professional		$57.19	$57.19	$57.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $228.57 / $346.18	Professional		$179.97	$228.57	$346.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $172.43 / $346.37	Professional		$81.55	$172.43	$346.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $352.61 / $457.73	Professional		$265.00	$352.61	$457.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.47 / $3,653.21 / $8,882.46	Facility		$1,613.47	$3,653.21	$8,882.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $313.76 / $2,417.01 / $7,175.00	Facility		$313.76	$2,417.01	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $169.50 / $469.07	Professional		$75.95	$169.50	$469.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $239.80 / $511.90	Professional		$227.00	$239.80	$511.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $172.46 / $350.87	Professional		$82.83	$172.46	$350.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $172.74 / $266.52	Facility		$85.48	$172.74	$266.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $224.59 / $245.82	Professional		$85.48	$224.59	$245.82
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $261.27 / $477.64	Professional		$188.17	$261.27	$477.64