Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $2,070.00 / $8,017.00	Facility		$149.32	$2,070.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $146.69 / $384.77	Professional		$130.55	$146.69	$384.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $173.38 / $220.90	Professional		$110.60	$173.38	$220.90
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 $143.85 / $149.28 / $273.08	Professional		$143.85	$149.28	$273.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $180.30 / $292.38	Professional		$138.72	$180.30	$292.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $228.66 / $290.20	Professional		$168.01	$228.66	$290.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.99 / $465.04 / $4,118.00	Facility		$367.99	$465.04	$4,118.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $143.44 / $143.44	Professional		$143.44	$143.44	$143.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $8,247.00	Facility		$594.00	$2,422.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $151.09 / $512.79	Professional		$133.33	$151.09	$512.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $294.89	Professional		$139.50	$139.50	$294.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $183.20 / $300.30	Professional		$138.72	$183.20	$300.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $141.16 / $151.44	Facility		$141.16	$141.16	$151.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $142.96 / $151.44	Professional		$135.76	$142.96	$151.44
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $180.05 / $295.11	Professional		$128.18	$180.05	$295.11