Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,197.00	Facility		$641.00	$2,326.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $512.55 / $743.26	Professional		$357.84	$512.55	$743.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $180.97 / $180.97	Professional		$180.97	$180.97	$180.97
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 $601.22 / $623.91 / $1,103.71	Professional		$601.22	$623.91	$1,103.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.34 / $680.34 / $680.34	Facility		$680.34	$680.34	$680.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $563.02 / $1,028.93	Professional		$376.25	$563.02	$1,028.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.54 / $976.90 / $1,253.20	Professional		$725.54	$976.90	$1,253.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.18 / $416.18 / $416.18	Professional		$416.18	$416.18	$416.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $650.84 / $2,371.00 / $8,017.00	Facility		$650.84	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $590.52 / $1,541.00	Professional		$357.84	$590.52	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $483.30 / $1,304.70	Professional		$483.30	$483.30	$1,304.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $680.34 / $680.34 / $680.34	Facility		$680.34	$680.34	$680.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $381.47 / $567.19 / $1,041.58	Professional		$381.47	$567.19	$1,041.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $391.04 / $415.63 / $596.54	Facility		$391.04	$415.63	$596.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $391.04 / $472.43 / $643.24	Professional		$391.04	$472.43	$643.24
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 $457.68 / $696.47 / $1,176.59	Professional		$457.68	$696.47	$1,176.59