Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.48 / $5,537.00 / $19,224.09	Facility		$815.48	$5,537.00	$19,224.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.38 / $756.81 / $1,298.25	Professional		$537.38	$756.81	$1,298.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.35 / $659.45 / $791.34	Professional		$542.35	$659.45	$791.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $762.90 / $1,093.68 / $1,464.68	Professional		$762.90	$1,093.68	$1,464.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.60 / $978.60 / $978.60	Facility		$978.60	$978.60	$978.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.82 / $823.08 / $1,346.82	Professional		$575.82	$823.08	$1,346.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $906.36 / $1,210.67 / $1,565.52	Professional		$906.36	$1,210.67	$1,565.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,051.75 / $17,440.80 / $32,020.43	Facility		$5,051.75	$17,440.80	$32,020.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.73 / $590.21 / $892.88	Professional		$510.73	$590.21	$892.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $5,052.00 / $18,891.37	Facility		$810.00	$5,052.00	$18,891.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $815.48 / $1,528.48	Professional		$558.59	$815.48	$1,528.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $908.50 / $924.40 / $1,769.90	Professional		$908.50	$924.40	$1,769.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $978.60 / $978.60 / $978.60	Facility		$978.60	$978.60	$978.60
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $829.39 / $1,396.42	Professional		$582.49	$829.39	$1,396.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $564.13 / $615.16 / $756.68	Facility		$564.13	$615.16	$756.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $564.13 / $731.20 / $807.79	Professional		$564.13	$731.20	$807.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.85 / $957.44 / $1,596.94	Professional		$747.85	$957.44	$1,596.94