Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,679.00 / $8,017.00	Facility		$657.00	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.63 / $673.51 / $1,393.07	Professional		$217.63	$673.51	$1,393.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $97.55 / $860.46	Professional		$97.55	$97.55	$860.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $957.88 / $994.03 / $1,254.27	Professional		$957.88	$994.03	$1,254.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $444.86 / $1,813.47	Professional		$227.31	$444.86	$1,813.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.85 / $1,512.92 / $1,991.04	Professional		$1,167.85	$1,512.92	$1,991.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,023.95 / $3,023.95 / $3,023.95	Facility		$3,023.95	$3,023.95	$3,023.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $277.08 / $281.58	Professional		$277.08	$277.08	$281.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,679.00 / $8,247.00	Facility		$832.00	$2,679.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $737.86 / $1,858.70	Professional		$216.28	$737.86	$1,858.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $305.20 / $2,472.60	Professional		$305.20	$305.20	$2,472.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $248.46 / $359.66 / $359.66	Facility		$248.46	$359.66	$359.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $444.86 / $1,682.80	Professional		$227.31	$444.86	$1,682.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $273.18 / $992.22	Facility		$204.96	$273.18	$992.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $273.18 / $1,079.99	Professional		$204.96	$273.18	$1,079.99
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $3,742.00	Facility		$144.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.44 / $1,247.63 / $2,107.05	Professional		$829.44	$1,247.63	$2,107.05