Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,977.96 / $8,017.00	Facility		$832.00	$3,977.96	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $433.10 / $789.77	Professional		$376.54	$433.10	$789.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $413.64 / $413.64	Professional		$413.64	$413.64	$413.64
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 $427.86 / $444.00 / $777.23	Professional		$427.86	$444.00	$777.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $483.58	Facility		$483.58	$483.58	$483.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.64 / $524.73 / $841.58	Professional		$403.64	$524.73	$841.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.14 / $675.88 / $870.79	Professional		$504.14	$675.88	$870.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,931.48 / $6,853.46 / $14,896.51	Facility		$2,931.48	$6,853.46	$14,896.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.65 / $433.05 / $438.44	Professional		$427.65	$433.05	$438.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,977.96 / $8,017.00	Facility		$768.00	$3,977.96	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $487.84 / $1,282.00	Professional		$376.54	$487.84	$1,282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $587.40 / $587.40 / $899.80	Professional		$587.40	$587.40	$899.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $483.58	Facility		$483.58	$483.58	$483.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $409.21 / $532.05 / $888.82	Professional		$409.21	$532.05	$888.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $409.99 / $521.20	Facility		$409.99	$409.99	$521.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.99 / $410.41 / $521.20	Professional		$398.99	$410.41	$521.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.04 / $534.19 / $800.29	Professional		$403.04	$534.19	$800.29