Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.88 / $2,747.00 / $8,600.61	Facility		$277.88	$2,747.00	$8,600.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $363.12 / $817.61	Professional		$170.50	$363.12	$817.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $166.29 / $230.43	Professional		$166.29	$166.29	$230.43
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 $283.44 / $294.14 / $975.09	Professional		$283.44	$294.14	$975.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Facility		$297.22	$297.22	$297.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $387.13 / $737.64	Professional		$186.78	$387.13	$737.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $446.60 / $579.29	Professional		$335.38	$446.60	$579.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,061.60 / $7,992.42 / $14,103.35	Facility		$2,061.60	$7,992.42	$14,103.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $190.01 / $292.33	Professional		$163.29	$190.01	$292.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $306.23 / $3,003.57 / $8,754.00	Facility		$306.23	$3,003.57	$8,754.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $377.18 / $1,033.82	Professional		$174.00	$377.18	$1,033.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $548.70 / $769.60	Professional		$239.98	$548.70	$769.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Facility		$297.22	$297.22	$297.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $387.13 / $777.91	Professional		$188.13	$387.13	$777.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $282.45 / $495.33	Facility		$168.96	$282.45	$495.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.96 / $276.60 / $385.53	Professional		$168.96	$276.60	$385.53
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 $440.39 / $586.86 / $1,017.90	Professional		$440.39	$586.86	$1,017.90