Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.37 / $2,747.00 / $8,451.00	Facility		$571.37	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $485.45 / $1,032.67	Professional		$298.70	$485.45	$1,032.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $557.61 / $557.61 / $557.61	Professional		$557.61	$557.61	$557.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $515.61 / $648.40 / $885.24	Professional		$515.61	$648.40	$885.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $562.73	Facility		$562.73	$562.73	$562.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $504.58 / $892.29	Professional		$324.13	$504.58	$892.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $621.37 / $837.46 / $1,073.27	Professional		$621.37	$837.46	$1,073.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,711.18 / $3,770.42 / $6,608.48	Facility		$1,711.18	$3,770.42	$6,608.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.17 / $342.32 / $523.80	Professional		$310.17	$342.32	$523.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,667.32 / $8,017.00	Facility		$574.00	$2,667.32	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $535.23 / $1,220.83	Professional		$315.00	$535.23	$1,220.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $481.40 / $481.40 / $1,143.90	Professional		$481.40	$481.40	$1,143.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $562.73	Facility		$562.73	$562.73	$562.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $508.58 / $901.08	Professional		$330.02	$508.58	$901.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.72 / $361.89 / $518.47	Facility		$323.72	$361.89	$518.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $433.04 / $558.55	Professional		$323.72	$433.04	$558.55
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.08 / $616.25 / $986.61	Professional		$435.08	$616.25	$986.61