Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.88 / $3,839.00 / $11,591.99	Facility		$820.88	$3,839.00	$11,591.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $697.32 / $1,507.08	Professional		$474.50	$697.32	$1,507.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $719.08 / $719.08	Professional		$719.08	$719.08	$719.08
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 $856.84 / $889.17 / $1,643.98	Professional		$856.84	$889.17	$1,643.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $882.10	Facility		$882.10	$882.10	$882.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.20 / $823.30 / $1,474.64	Professional		$534.20	$823.30	$1,474.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.34 / $1,358.59 / $1,765.86	Professional		$1,022.34	$1,358.59	$1,765.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,272.54 / $7,317.46 / $17,573.23	Facility		$4,272.54	$7,317.46	$17,573.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $570.75 / $871.77	Professional		$490.68	$570.75	$871.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,623.00 / $10,527.00	Facility		$749.00	$3,623.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $479.15 / $794.69 / $1,820.00	Professional		$479.15	$794.69	$1,820.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $647.46 / $893.40 / $1,599.30	Professional		$647.46	$893.40	$1,599.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $882.10	Facility		$882.10	$882.10	$882.10
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $829.95 / $1,528.77	Professional		$536.62	$829.95	$1,528.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $500.20 / $679.85 / $851.46	Facility		$500.20	$679.85	$851.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $499.74 / $792.26 / $912.78	Professional		$499.74	$792.26	$912.78
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 $763.94 / $1,031.96 / $1,694.20	Professional		$763.94	$1,031.96	$1,694.20