Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.28 / $2,926.00 / $9,900.00	Facility		$765.28	$2,926.00	$9,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.05 / $835.70 / $1,650.73	Professional		$578.05	$835.70	$1,650.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $566.70 / $566.70 / $825.74	Professional		$566.70	$566.70	$825.74
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 $980.52 / $1,017.52 / $1,818.33	Professional		$980.52	$1,017.52	$1,818.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.68 / $1,018.68 / $1,018.68	Facility		$1,018.68	$1,018.68	$1,018.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.61 / $959.65 / $1,683.80	Professional		$616.61	$959.65	$1,683.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.57 / $1,560.77 / $2,023.61	Professional		$1,171.57	$1,560.77	$2,023.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,691.20 / $13,182.66 / $22,394.35	Facility		$3,691.20	$13,182.66	$22,394.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.71 / $612.80 / $1,068.41	Professional		$601.71	$612.80	$1,068.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $855.71 / $4,431.00 / $9,900.00	Facility		$855.71	$4,431.00	$9,900.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $583.77 / $920.87 / $1,836.21	Professional		$583.77	$920.87	$1,836.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.04 / $925.02 / $1,882.10	Professional		$748.04	$925.02	$1,882.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.68 / $1,018.68 / $1,018.68	Facility		$1,018.68	$1,018.68	$1,018.68
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $623.37 / $964.45 / $1,755.09	Professional		$623.37	$964.45	$1,755.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $577.55 / $745.26 / $970.24	Facility		$577.55	$745.26	$970.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $577.55 / $923.90 / $1,040.58	Professional		$577.55	$923.90	$1,040.58
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 $855.07 / $1,197.75 / $1,843.10	Professional		$855.07	$1,197.75	$1,843.10