Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.78 / $2,180.00 / $10,309.01	Facility		$524.78	$2,180.00	$10,309.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.81 / $512.30 / $955.19	Professional		$346.81	$512.30	$955.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.98 / $268.98 / $602.66	Professional		$268.98	$268.98	$602.66
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 $557.17 / $674.11 / $1,026.79	Professional		$557.17	$674.11	$1,026.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $661.09 / $661.09	Facility		$661.09	$661.09	$661.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $545.40 / $956.85	Professional		$376.77	$545.40	$956.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $665.01 / $886.56 / $1,148.65	Professional		$665.01	$886.56	$1,148.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.60 / $8,125.53 / $22,318.01	Facility		$1,845.60	$8,125.53	$22,318.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.22 / $400.33 / $528.45	Professional		$326.22	$400.33	$528.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $524.78 / $2,180.00 / $8,754.00	Facility		$524.78	$2,180.00	$8,754.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $538.48 / $1,035.60	Professional		$347.68	$538.48	$1,035.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.10 / $562.10 / $1,219.20	Professional		$562.10	$562.10	$1,219.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $661.09 / $661.09	Facility		$661.09	$661.09	$661.09
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $387.26 / $571.63 / $980.77	Professional		$387.26	$571.63	$980.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $376.70 / $410.39 / $548.70	Facility		$376.70	$410.39	$548.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $492.48 / $587.86	Professional		$376.31	$492.48	$587.86
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 $486.65 / $653.86 / $1,064.76	Professional		$486.65	$653.86	$1,064.76