Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,679.00 / $7,799.00	Facility		$574.00	$2,679.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.77 / $488.45 / $1,042.73	Professional		$434.77	$488.45	$1,042.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $925.28 / $925.28 / $925.28	Professional		$925.28	$925.28	$925.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $490.40 / $713.07 / $1,095.10	Professional		$490.40	$713.07	$1,095.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $558.35	Facility		$558.35	$558.35	$558.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.88 / $586.55 / $983.60	Professional		$444.88	$586.55	$983.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $585.17 / $789.00 / $1,010.76	Professional		$585.17	$789.00	$1,010.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,984.29 / $10,942.35 / $18,207.21	Facility		$6,984.29	$10,942.35	$18,207.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.23 / $506.23 / $531.54	Professional		$506.23	$506.23	$531.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,543.00 / $8,017.00	Facility		$574.00	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $434.77 / $546.47 / $2,118.00	Professional		$434.77	$546.47	$2,118.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $610.00 / $1,005.20	Professional		$610.00	$610.00	$1,005.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $558.35	Facility		$558.35	$558.35	$558.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $444.88 / $597.76 / $983.60	Professional		$444.88	$597.76	$983.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $475.38 / $475.38 / $545.58	Facility		$475.38	$475.38	$545.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $463.72 / $475.38 / $545.58	Professional		$463.72	$475.38	$545.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $578.27 / $902.12	Professional		$446.36	$578.27	$902.12