Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.13 / $1,486.00 / $7,197.00	Facility		$224.13	$1,486.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $225.71 / $503.03	Professional		$122.48	$225.71	$503.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $218.99 / $218.99	Professional		$218.99	$218.99	$218.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $339.50 / $464.57	Professional		$231.01	$339.50	$464.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $224.98	Facility		$224.98	$224.98	$224.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $235.38 / $430.23	Professional		$134.32	$235.38	$430.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.67 / $368.02 / $477.89	Professional		$276.67	$368.02	$477.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.89 / $2,372.83 / $3,986.06	Facility		$1,073.89	$2,372.83	$3,986.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $229.96 / $258.69	Professional		$127.40	$229.96	$258.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $224.13 / $1,825.00 / $7,763.00	Facility		$224.13	$1,825.00	$7,763.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $238.42 / $523.54	Professional		$124.73	$238.42	$523.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $283.80 / $564.70	Professional		$283.80	$283.80	$564.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $224.98	Facility		$224.98	$224.98	$224.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $240.07 / $447.05	Professional		$135.59	$240.07	$447.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $199.16 / $303.43	Facility		$128.63	$199.16	$303.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $228.17 / $249.11	Professional		$128.41	$228.17	$249.11
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,106.00 / $3,742.00	Facility		$471.00	$1,106.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.53 / $297.87 / $469.28	Professional		$225.53	$297.87	$469.28