Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $2,340.00 / $7,629.00	Facility		$528.79	$2,340.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $474.95 / $870.33	Professional		$322.25	$474.95	$870.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.83 / $251.83 / $251.83	Professional		$251.83	$251.83	$251.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $520.44 / $540.08 / $540.08	Professional		$520.44	$540.08	$540.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $621.17 / $621.17	Facility		$621.17	$621.17	$621.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.72 / $531.91 / $927.50	Professional		$367.72	$531.91	$927.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $621.47 / $830.37 / $1,073.44	Professional		$621.47	$830.37	$1,073.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,031.35 / $12,892.44 / $18,975.18	Facility		$5,031.35	$12,892.44	$18,975.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $394.36 / $424.94	Professional		$227.54	$394.36	$424.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,463.00 / $8,017.00	Facility		$574.00	$2,463.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $516.02 / $1,128.83	Professional		$322.25	$516.02	$1,128.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.31 / $549.70 / $1,098.30	Professional		$457.31	$549.70	$1,098.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $621.17 / $621.17	Facility		$621.17	$621.17	$621.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $367.72 / $538.39 / $943.45	Professional		$367.72	$538.39	$943.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $351.92 / $509.37 / $518.17	Facility		$351.92	$509.37	$518.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $499.62 / $545.58	Professional		$349.74	$499.62	$545.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $4,300.00 / $10,443.12	Facility		$1,781.00	$4,300.00	$10,443.12
United Facility/Professional Professional Modifier Low / Median / High Price $465.40 / $612.44 / $1,061.57	Professional		$465.40	$612.44	$1,061.57