Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,142.00 / $7,727.60	Facility		$594.00	$3,142.00	$7,727.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $441.25 / $725.29	Professional		$319.68	$441.25	$725.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $442.33 / $442.33	Professional		$442.33	$442.33	$442.33
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 $473.52 / $491.39 / $900.52	Professional		$473.52	$491.39	$900.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $596.92	Facility		$596.92	$596.92	$596.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.21 / $489.72 / $854.28	Professional		$337.21	$489.72	$854.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.87 / $744.77 / $968.77	Professional		$560.87	$744.77	$968.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.17 / $4,258.64 / $12,791.97	Facility		$1,618.17	$4,258.64	$12,791.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $350.81 / $481.77	Professional		$331.63	$350.81	$481.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $473.19 / $1,017.21	Professional		$325.52	$473.19	$1,017.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $515.20 / $515.20 / $1,067.70	Professional		$515.20	$515.20	$1,067.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $596.92	Facility		$596.92	$596.92	$596.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $494.73 / $863.18	Professional		$348.79	$494.73	$863.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $393.19 / $475.28	Facility		$339.75	$393.19	$475.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $339.45 / $455.99 / $495.67	Professional		$339.45	$455.99	$495.67
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $585.94 / $976.59	Professional		$434.12	$585.94	$976.59