Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.28 / $2,202.00 / $7,763.00	Facility		$520.28	$2,202.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.81 / $464.80 / $841.96	Professional		$330.81	$464.80	$841.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.91 / $557.08 / $557.08	Professional		$347.91	$557.08	$557.08
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 $505.17 / $548.53 / $939.64	Professional		$505.17	$548.53	$939.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $614.42 / $614.42	Facility		$614.42	$614.42	$614.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.18 / $524.24 / $915.72	Professional		$358.18	$524.24	$915.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $799.50 / $1,037.53	Professional		$600.67	$799.50	$1,037.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,902.14 / $6,596.03 / $11,278.62	Facility		$1,902.14	$6,596.03	$11,278.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.02 / $367.75 / $489.88	Professional		$333.02	$367.75	$489.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.12 / $2,138.00 / $7,799.00	Facility		$480.12	$2,138.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $505.66 / $1,060.61	Professional		$331.83	$505.66	$1,060.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $568.00 / $568.00 / $1,116.59	Professional		$568.00	$568.00	$1,116.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $614.42 / $614.42	Facility		$614.42	$614.42	$614.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $364.80 / $527.91 / $926.83	Professional		$364.80	$527.91	$926.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $350.36 / $438.27 / $514.80	Facility		$350.36	$438.27	$514.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $489.06 / $532.58	Professional		$349.96	$489.06	$532.58
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 $459.13 / $600.71 / $978.22	Professional		$459.13	$600.71	$978.22