Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $3,066.00 / $7,263.00	Facility		$655.00	$3,066.00	$7,263.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $332.30 / $535.55	Professional		$138.26	$332.30	$535.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $66.84 / $171.21	Professional		$66.84	$66.84	$171.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $238.67 / $247.68 / $798.34	Professional		$238.67	$247.68	$798.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $383.38 / $663.58	Professional		$152.77	$383.38	$663.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $282.32 / $374.11 / $487.64	Professional		$282.32	$374.11	$487.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.82 / $2,984.73 / $5,063.39	Facility		$1,480.82	$2,984.73	$5,063.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $141.99 / $245.90	Professional		$132.34	$141.99	$245.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,838.00 / $8,017.00	Facility		$832.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $349.00 / $734.47	Professional		$142.26	$349.00	$734.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $462.80 / $832.20	Professional		$333.24	$462.80	$832.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $383.15 / $675.60	Professional		$152.77	$383.15	$675.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $238.49 / $421.37	Facility		$137.32	$238.49	$421.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $234.02 / $332.70	Professional		$137.32	$234.02	$332.70
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 $377.49 / $525.71 / $876.81	Professional		$377.49	$525.71	$876.81