Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.29 / $2,180.00 / $7,763.00	Facility		$560.29	$2,180.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $668.11 / $1,163.21	Professional		$471.20	$668.11	$1,163.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.63 / $469.63 / $469.63	Professional		$469.63	$469.63	$469.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $684.45 / $737.71 / $1,360.39	Professional		$684.45	$737.71	$1,360.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $831.68 / $831.68	Facility		$831.68	$831.68	$831.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.02 / $765.62 / $1,260.77	Professional		$505.02	$765.62	$1,260.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.79 / $1,079.80 / $1,403.91	Professional		$812.79	$1,079.80	$1,403.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,592.16 / $2,584.62 / $10,942.35	Facility		$1,592.16	$2,584.62	$10,942.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.92 / $540.98 / $858.02	Professional		$464.92	$540.98	$858.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,202.00 / $7,799.00	Facility		$594.00	$2,202.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.76 / $717.81 / $1,501.05	Professional		$478.76	$717.81	$1,501.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $728.70 / $1,474.90	Professional		$611.29	$728.70	$1,474.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $831.68 / $831.68	Facility		$831.68	$831.68	$831.68
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $509.41 / $773.83 / $1,377.24	Professional		$509.41	$773.83	$1,377.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $471.20 / $554.48 / $682.32	Facility		$471.20	$554.48	$682.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $658.00 / $715.90	Professional		$470.60	$658.00	$715.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.82 / $868.72 / $1,448.95	Professional		$640.82	$868.72	$1,448.95