Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $5,470.00 / $12,041.40	Facility		$657.00	$5,470.00	$12,041.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.08 / $4,556.97 / $9,277.61	Professional		$478.08	$4,556.97	$9,277.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $453.72 / $453.72 / $453.72	Professional		$453.72	$453.72	$453.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,137.54 / $8,277.40 / $12,951.62	Professional		$5,137.54	$8,277.40	$12,951.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.44 / $1,153.39 / $10,639.80	Professional		$528.44	$1,153.39	$10,639.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,324.91 / $8,457.57 / $10,924.85	Professional		$6,324.91	$8,457.57	$10,924.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,148.25 / $16,830.53 / $34,944.56	Facility		$3,148.25	$16,830.53	$34,944.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.17 / $508.17 / $545.19	Professional		$508.17	$508.17	$545.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $721.17 / $5,958.00 / $12,948.00	Facility		$721.17	$5,958.00	$12,948.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $2,843.00 / $10,063.24	Professional		$498.24	$2,843.00	$10,063.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $596.20 / $596.20 / $13,040.20	Professional		$596.20	$596.20	$13,040.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $545.04 / $1,281.10 / $10,757.54	Professional		$545.04	$1,281.10	$10,757.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $601.48 / $7,651.07	Facility		$497.17	$601.48	$7,651.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $5,404.98 / $6,043.31	Professional		$497.17	$5,404.98	$6,043.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $7,000.00	Facility		$2,468.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,079.16 / $7,988.47 / $12,843.99	Professional		$6,079.16	$7,988.47	$12,843.99