Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $2,128.00 / $9,121.59	Facility		$263.52	$2,128.00	$9,121.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $323.10 / $690.21	Professional		$175.25	$323.10	$690.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $202.70 / $273.58	Professional		$168.08	$202.70	$273.58
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 $289.08 / $300.00 / $727.49	Professional		$289.08	$300.00	$727.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $304.76	Facility		$304.76	$304.76	$304.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $409.42 / $761.82	Professional		$192.21	$409.42	$761.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.91 / $455.26 / $590.58	Professional		$341.91	$455.26	$590.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.11 / $8,516.52 / $14,894.68	Facility		$2,518.11	$8,516.52	$14,894.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $196.39 / $591.48	Professional		$167.39	$196.39	$591.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $2,467.00 / $8,609.00	Facility		$310.94	$2,467.00	$8,609.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $337.21 / $835.03	Professional		$180.52	$337.21	$835.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $621.79 / $783.90	Professional		$248.33	$621.79	$783.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $304.76	Facility		$304.76	$304.76	$304.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $192.88 / $410.61 / $812.15	Professional		$192.88	$410.61	$812.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $288.66 / $520.60	Facility		$174.52	$288.66	$520.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $282.45 / $425.35	Professional		$174.52	$282.45	$425.35
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 $450.69 / $614.48 / $1,094.77	Professional		$450.69	$614.48	$1,094.77