Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.60 / $2,340.00 / $7,197.00	Facility		$392.60	$2,340.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $348.24 / $640.11	Professional		$222.09	$348.24	$640.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $231.77 / $231.77	Professional		$231.77	$231.77	$231.77
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 $365.38 / $379.17 / $379.17	Professional		$365.38	$379.17	$379.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Facility		$410.50	$410.50	$410.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.31 / $375.73 / $674.84	Professional		$249.31	$375.73	$674.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $435.79 / $578.28 / $752.72	Professional		$435.79	$578.28	$752.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,984.85 / $3,445.02 / $5,740.99	Facility		$1,984.85	$3,445.02	$5,740.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $378.20 / $378.41	Professional		$254.31	$378.20	$378.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,543.00 / $8,017.00	Facility		$594.00	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $230.64 / $366.76 / $808.76	Professional		$230.64	$366.76	$808.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $415.20 / $851.60	Professional		$415.20	$415.20	$851.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Facility		$410.50	$410.50	$410.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $249.31 / $384.98 / $687.86	Professional		$249.31	$384.98	$687.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.07 / $361.80 / $420.12	Facility		$234.07	$361.80	$420.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $356.31 / $387.83	Professional		$233.28	$356.31	$387.83
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 $343.38 / $460.32 / $767.78	Professional		$343.38	$460.32	$767.78