Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.19 / $1,974.00 / $8,728.94	Facility		$676.19	$1,974.00	$8,728.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.73 / $607.63 / $988.16	Professional		$431.73	$607.63	$988.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $617.91 / $617.91 / $617.91	Professional		$617.91	$617.91	$617.91
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 $644.42 / $921.01 / $1,196.91	Professional		$644.42	$921.01	$1,196.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $795.21 / $795.21	Facility		$795.21	$795.21	$795.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $670.28 / $1,133.46	Professional		$464.33	$670.28	$1,133.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $768.10 / $1,026.16 / $1,326.71	Professional		$768.10	$1,026.16	$1,326.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,367.20 / $13,306.10 / $17,660.62	Facility		$5,367.20	$13,306.10	$17,660.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $480.94 / $698.32	Professional		$445.40	$480.94	$698.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $685.12 / $3,627.00 / $8,728.94	Facility		$685.12	$3,627.00	$8,728.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $431.88 / $651.17 / $1,204.36	Professional		$431.88	$651.17	$1,204.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $1,423.40	Professional		$714.00	$714.00	$1,423.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $795.21 / $795.21	Facility		$795.21	$795.21	$795.21
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $471.95 / $676.20 / $1,183.92	Professional		$471.95	$676.20	$1,183.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $456.37 / $558.64 / $637.22	Facility		$456.37	$558.64	$637.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $456.37 / $624.40 / $681.82	Professional		$456.37	$624.40	$681.82
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 $583.46 / $760.79 / $1,255.71	Professional		$583.46	$760.79	$1,255.71