Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.02 / $3,297.68 / $9,534.00	Facility		$547.02	$3,297.68	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $477.51 / $871.17	Professional		$336.67	$477.51	$871.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $368.87 / $459.81	Professional		$368.87	$368.87	$459.81
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 $525.44 / $545.27 / $545.27	Professional		$525.44	$545.27	$545.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $647.41	Facility		$647.41	$647.41	$647.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.27 / $506.73 / $903.62	Professional		$362.27	$506.73	$903.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $628.24 / $836.56 / $1,085.15	Professional		$628.24	$836.56	$1,085.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.02 / $3,897.88 / $7,116.43	Facility		$2,052.02	$3,897.88	$7,116.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $399.19 / $482.78	Professional		$362.90	$399.19	$482.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,297.68 / $8,017.00	Facility		$540.00	$3,297.68	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $520.98 / $1,137.88	Professional		$336.93	$520.98	$1,137.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.60 / $455.60 / $1,145.70	Professional		$455.60	$455.60	$1,145.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $647.41	Facility		$647.41	$647.41	$647.41
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $366.33 / $531.38 / $951.24	Professional		$366.33	$531.38	$951.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $337.29 / $367.20 / $512.01	Facility		$337.29	$367.20	$512.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $359.20 / $417.31 / $549.24	Professional		$359.20	$417.31	$549.24
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 $435.63 / $622.34 / $1,007.60	Professional		$435.63	$622.34	$1,007.60