Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.27 / $2,909.55 / $6,012.00	Facility		$576.27	$2,909.55	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $539.94 / $1,023.49	Professional		$293.42	$539.94	$1,023.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $551.86 / $606.88	Professional		$326.36	$551.86	$606.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,688.00 / $4,354.00 / $8,639.91	Facility		$2,688.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $593.72 / $616.12 / $616.12	Professional		$593.72	$616.12	$616.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $541.16	Facility		$541.16	$541.16	$541.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $559.66 / $1,005.95	Professional		$312.06	$559.66	$1,005.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $720.30 / $966.49 / $1,244.16	Professional		$720.30	$966.49	$1,244.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,540.21 / $3,603.63 / $6,921.96	Facility		$2,540.21	$3,603.63	$6,921.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $365.06 / $507.64	Professional		$318.62	$365.06	$507.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,171.64 / $7,153.20	Facility		$540.00	$3,171.64	$7,153.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $557.87 / $1,131.42	Professional		$304.70	$557.87	$1,131.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $429.50 / $1,332.40	Professional		$429.50	$429.50	$1,332.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $541.16	Facility		$541.16	$541.16	$541.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $564.38 / $1,049.72	Professional		$324.82	$564.38	$1,049.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $311.33 / $506.43 / $773.30	Facility		$311.33	$506.43	$773.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $589.01 / $648.05	Professional		$311.02	$589.01	$648.05
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $3,742.00	Facility		$912.00	$2,391.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.42 / $701.49 / $1,117.25	Professional		$510.42	$701.49	$1,117.25