Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,536.40 / $8,017.00	Facility		$954.00	$3,536.40	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $585.15 / $917.10	Professional		$515.54	$585.15	$917.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $693.13 / $946.54	Professional		$586.09	$693.13	$946.54
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 $575.34 / $597.04 / $597.04	Professional		$575.34	$597.04	$597.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Facility		$651.29	$651.29	$651.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.41 / $720.85 / $1,166.74	Professional		$543.41	$720.85	$1,166.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $668.28 / $884.91 / $1,154.31	Professional		$668.28	$884.91	$1,154.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.90 / $2,961.93 / $6,853.46	Facility		$1,429.90	$2,961.93	$6,853.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.17 / $585.49 / $633.22	Professional		$544.17	$585.49	$633.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $650.20 / $1,749.00	Professional		$515.54	$650.20	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $796.90 / $796.90 / $1,185.59	Professional		$796.90	$796.90	$1,185.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Facility		$651.29	$651.29	$651.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $726.36 / $1,197.41	Professional		$554.50	$726.36	$1,197.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $558.42 / $558.42 / $708.36	Facility		$558.42	$558.42	$708.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $544.24 / $558.42 / $708.36	Professional		$544.24	$558.42	$708.36
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 $561.47 / $724.20 / $1,154.82	Professional		$561.47	$724.20	$1,154.82