Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $4,136.07 / $9,256.00	Facility		$749.00	$4,136.07	$9,256.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,679.71 / $5,679.71 / $5,850.36	Facility	22	$5,679.71	$5,679.71	$5,850.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $618.04 / $1,468.23	Professional		$270.61	$618.04	$1,468.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $423.39 / $713.70	Professional		$423.39	$423.39	$713.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $597.38 / $859.92 / $1,148.91	Professional		$597.38	$859.92	$1,148.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $675.90	Facility		$675.90	$675.90	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.96 / $749.31 / $1,215.69	Professional		$575.96	$749.31	$1,215.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $706.99 / $956.03 / $1,221.17	Professional		$706.99	$956.03	$1,221.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,876.50 / $4,746.97 / $11,315.28	Facility		$1,876.50	$4,746.97	$11,315.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $781.47 / $889.70	Professional		$710.42	$781.47	$889.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $4,844.45 / $10,409.79	Facility		$749.00	$4,844.45	$10,409.79
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $5,679.71 / $5,679.71 / $5,850.36	Facility	22	$5,679.71	$5,679.71	$5,850.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $695.39 / $1,835.60	Professional		$296.93	$695.39	$1,835.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $834.50 / $856.31 / $1,244.59	Professional		$834.50	$856.31	$1,244.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $675.90	Facility		$675.90	$675.90	$675.90
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $575.96 / $761.53 / $1,262.98	Professional		$575.96	$761.53	$1,262.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $582.02 / $582.02 / $826.26	Facility		$582.02	$582.02	$826.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $564.72 / $584.26 / $826.26	Professional		$564.72	$584.26	$826.26
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 $585.92 / $759.69 / $1,273.69	Professional		$585.92	$759.69	$1,273.69