Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.45 / $4,068.00 / $8,917.29	Facility		$1,055.45	$4,068.00	$8,917.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $770.92 / $3,094.00	Professional		$668.65	$770.92	$3,094.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,261.05 / $1,261.05 / $1,261.05	Professional		$1,261.05	$1,261.05	$1,261.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $740.92 / $1,065.78 / $1,562.08	Professional		$740.92	$1,065.78	$1,562.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.69 / $925.54 / $1,500.05	Professional		$714.69	$925.54	$1,500.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $874.34 / $1,194.21 / $1,510.22	Professional		$874.34	$1,194.21	$1,510.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,392.01 / $6,870.71 / $12,791.97	Facility		$4,392.01	$6,870.71	$12,791.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.19 / $832.51 / $832.51	Professional		$819.19	$832.51	$832.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,055.45 / $4,194.00 / $8,017.00	Facility		$1,055.45	$4,194.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $1,016.35 / $3,094.00	Professional		$679.95	$1,016.35	$3,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $427.20 / $427.20 / $1,505.60	Professional		$427.20	$427.20	$1,505.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $714.69 / $939.54 / $1,529.26	Professional		$714.69	$939.54	$1,529.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $723.25 / $723.25 / $740.12	Facility		$723.25	$723.25	$740.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $697.10 / $730.79 / $764.40	Professional		$697.10	$730.79	$764.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.45 / $900.43 / $1,414.99	Professional		$702.45	$900.43	$1,414.99