Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.17 / $6,332.47 / $11,591.99	Facility		$1,234.17	$6,332.47	$11,591.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.54 / $673.04 / $2,580.00	Professional		$506.54	$673.04	$2,580.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.48 / $870.66 / $1,069.80	Professional		$338.48	$870.66	$1,069.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $566.99 / $887.90 / $1,344.95	Professional		$566.99	$887.90	$1,344.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $642.04	Facility		$642.04	$642.04	$642.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $722.11 / $1,172.56	Professional		$546.14	$722.11	$1,172.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $671.98 / $909.21 / $1,160.69	Professional		$671.98	$909.21	$1,160.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,014.00 / $6,051.11 / $12,159.11	Facility		$3,014.00	$6,051.11	$12,159.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.87 / $744.03 / $996.54	Professional		$656.87	$744.03	$996.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $5,876.08 / $11,535.98	Facility		$832.00	$5,876.08	$11,535.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $523.24 / $762.87 / $2,378.59	Professional		$523.24	$762.87	$2,378.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.35 / $818.20 / $1,171.80	Professional		$802.35	$818.20	$1,171.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $642.04	Facility		$642.04	$642.04	$642.04
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $725.43 / $1,197.13	Professional		$546.14	$725.43	$1,197.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $840.07	Facility		$551.66	$551.66	$840.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $535.46 / $553.61 / $840.07	Professional		$535.46	$553.61	$840.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,805.00 / $6,368.00	Facility		$2,155.00	$3,805.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.11 / $713.53 / $1,199.43	Professional		$531.11	$713.53	$1,199.43