Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.80 / $2,747.00 / $7,352.00	Facility		$509.80	$2,747.00	$7,352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $453.59 / $764.18	Professional		$316.24	$453.59	$764.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.04 / $388.04 / $388.04	Professional		$388.04	$388.04	$388.04
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 $462.64 / $678.99 / $982.39	Professional		$462.64	$678.99	$982.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.38 / $519.89 / $898.85	Professional		$350.38	$519.89	$898.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $728.95 / $946.39	Professional		$547.91	$728.95	$946.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,360.19 / $6,045.38 / $12,009.57	Facility		$3,360.19	$6,045.38	$12,009.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $375.96 / $525.03	Professional		$341.78	$375.96	$525.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,578.00 / $8,017.00	Facility		$536.00	$2,578.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $502.83 / $1,024.18	Professional		$322.25	$502.83	$1,024.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $579.40 / $579.40 / $1,117.90	Professional		$579.40	$579.40	$1,117.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $351.34 / $522.79 / $931.06	Professional		$351.34	$522.79	$931.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $326.58 / $333.89 / $465.73	Facility		$326.58	$333.89	$465.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $456.37 / $496.71	Professional		$326.58	$456.37	$496.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $3,819.53 / $9,211.81	Facility		$1,781.00	$3,819.53	$9,211.81
United Facility/Professional Professional Modifier Low / Median / High Price $457.58 / $603.47 / $942.00	Professional		$457.58	$603.47	$942.00