Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $6,514.56 / $25,756.76	Facility		$1,020.00	$6,514.56	$25,756.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $824.75 / $1,752.99	Professional		$549.97	$824.75	$1,752.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.49 / $578.49 / $585.72	Professional		$578.49	$578.49	$585.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $982.43 / $1,019.50 / $1,886.76	Professional		$982.43	$1,019.50	$1,886.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.88 / $1,021.88 / $1,021.88	Facility		$1,021.88	$1,021.88	$1,021.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.21 / $918.27 / $1,688.90	Professional		$598.21	$918.27	$1,688.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.09 / $1,564.86 / $2,027.98	Professional		$1,174.09	$1,564.86	$2,027.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,540.43 / $30,829.00 / $49,688.17	Facility		$7,540.43	$30,829.00	$49,688.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.51 / $638.12 / $1,024.68	Professional		$574.51	$638.12	$1,024.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $927.35 / $5,332.00 / $25,756.76	Facility		$927.35	$5,332.00	$25,756.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $927.35 / $2,047.11	Professional		$549.97	$927.35	$2,047.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $750.42 / $978.40 / $1,842.00	Professional		$750.42	$978.40	$1,842.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.88 / $1,021.88 / $1,021.88	Facility		$1,021.88	$1,021.88	$1,021.88
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $600.84 / $928.24 / $1,772.31	Professional		$600.84	$928.24	$1,772.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.54 / $731.35 / $990.08	Facility		$588.54	$731.35	$990.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.54 / $819.68 / $1,062.51	Professional		$588.54	$819.68	$1,062.51
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 $790.66 / $1,129.65 / $1,883.10	Professional		$790.66	$1,129.65	$1,883.10