Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.86 / $1,746.00 / $7,175.00	Facility		$383.86	$1,746.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $240.41 / $422.54	Professional		$209.76	$240.41	$422.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $112.91 / $112.91	Professional		$112.91	$112.91	$112.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $275.29 / $416.17	Professional		$265.27	$275.29	$416.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $297.50 / $486.16	Professional		$230.96	$297.50	$486.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $420.27 / $543.97	Professional		$314.93	$420.27	$543.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.23 / $1,358.98 / $2,674.72	Facility		$1,059.23	$1,358.98	$2,674.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $295.49 / $300.27	Professional		$279.33	$295.49	$300.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,070.00 / $8,017.00	Facility		$540.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $265.04 / $789.60	Professional		$209.76	$265.04	$789.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $348.20 / $531.20	Professional		$317.36	$348.20	$531.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $300.32 / $492.83	Professional		$231.09	$300.32	$492.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $254.07 / $334.53	Facility		$224.04	$254.07	$334.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $248.79 / $302.80	Professional		$223.39	$248.79	$302.80
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $320.45 / $506.17	Professional		$240.83	$320.45	$506.17