Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.48 / $3,745.00 / $8,632.87	Facility		$645.48	$3,745.00	$8,632.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $424.66 / $1,621.00	Professional		$366.98	$424.66	$1,621.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $698.28 / $698.28 / $698.28	Professional		$698.28	$698.28	$698.28
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 $409.26 / $587.27 / $832.08	Professional		$409.26	$587.27	$832.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $462.38 / $462.38	Facility		$462.38	$462.38	$462.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $507.84 / $825.18	Professional		$392.47	$507.84	$825.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.47 / $659.75 / $836.82	Professional		$484.47	$659.75	$836.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,365.23 / $6,444.46 / $13,218.23	Facility		$2,365.23	$6,444.46	$13,218.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.11 / $411.61 / $545.83	Professional		$389.11	$411.61	$545.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $689.90 / $3,839.00 / $9,450.35	Facility		$689.90	$3,839.00	$9,450.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $573.14 / $1,621.00	Professional		$366.98	$573.14	$1,621.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.70 / $448.70 / $836.00	Professional		$448.70	$448.70	$836.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $462.38 / $462.38	Facility		$462.38	$462.38	$462.38
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $510.29 / $841.60	Professional		$393.93	$510.29	$841.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $397.49 / $397.49 / $517.36	Facility		$397.49	$397.49	$517.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $400.59 / $517.36	Professional		$384.14	$400.59	$517.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $5,678.00	Facility		$1,175.00	$2,715.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.30 / $493.40 / $793.98	Professional		$383.30	$493.40	$793.98