Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,066.00 / $7,763.00	Facility		$540.00	$3,066.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $494.81 / $742.27	Professional		$254.33	$494.81	$742.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $268.98 / $348.97	Professional		$123.08	$268.98	$348.97
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 $369.48 / $400.04 / $1,270.08	Professional		$369.48	$400.04	$1,270.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $442.24 / $442.24	Facility		$442.24	$442.24	$442.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.16 / $613.42 / $1,064.06	Professional		$280.16	$613.42	$1,064.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $574.76 / $747.92	Professional		$433.00	$574.76	$747.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.53 / $826.53 / $2,220.86	Facility		$826.53	$826.53	$2,220.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.81 / $257.58 / $286.04	Professional		$240.81	$257.58	$286.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $497.61 / $989.50	Professional		$262.70	$497.61	$989.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $515.88 / $790.60 / $1,351.90	Professional		$515.88	$790.60	$1,351.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $442.24 / $442.24	Facility		$442.24	$442.24	$442.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $619.61 / $1,090.47	Professional		$281.85	$619.61	$1,090.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $255.52 / $370.29 / $734.72	Facility		$255.52	$370.29	$734.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $361.44 / $708.04	Professional		$255.52	$361.44	$708.04
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 $582.63 / $806.43 / $1,364.97	Professional		$582.63	$806.43	$1,364.97