Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.11 / $1,857.50 / $6,770.83	Facility		$239.11	$1,857.50	$6,770.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $222.87 / $409.32	Professional		$191.20	$222.87	$409.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $201.07 / $252.89	Professional		$201.07	$201.07	$252.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $243.20 / $243.20	Professional		$234.36	$243.20	$243.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $355.82	Facility		$355.82	$355.82	$355.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $265.31 / $438.82	Professional		$204.73	$265.31	$438.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $365.49 / $476.88	Professional		$276.08	$365.49	$476.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.78 / $4,295.93 / $13,612.06	Facility		$1,897.78	$4,295.93	$13,612.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $223.93 / $240.81	Professional		$211.15	$223.93	$240.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.11 / $1,882.10 / $7,763.00	Facility		$239.11	$1,882.10	$7,763.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $240.53 / $628.05	Professional		$191.20	$240.53	$628.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $397.50 / $489.50	Professional		$397.50	$397.50	$489.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $355.82	Facility		$355.82	$355.82	$355.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $270.88 / $448.29	Professional		$205.34	$270.88	$448.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $202.22 / $226.57 / $380.62	Facility		$202.22	$226.57	$380.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.44 / $222.03 / $301.99	Professional		$201.44	$222.03	$301.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,815.00	Facility		$1,175.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $291.51 / $436.73	Professional		$221.53	$291.51	$436.73