Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,747.00 / $8,017.00	Facility		$934.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.05 / $982.62 / $1,429.22	Professional		$277.05	$982.62	$1,429.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $237.86 / $237.86	Professional		$237.86	$237.86	$237.86
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 $990.49 / $1,027.85 / $1,027.85	Professional		$990.49	$1,027.85	$1,027.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.54 / $558.60 / $1,939.54	Professional		$263.54	$558.60	$1,939.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.10 / $1,618.59 / $7,608.55	Professional		$1,205.10	$1,618.59	$7,608.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,985.91 / $4,985.91 / $4,985.91	Facility		$4,985.91	$4,985.91	$4,985.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $328.52 / $328.52	Professional		$328.52	$328.52	$328.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $941.34 / $3,654.00 / $8,247.00	Facility		$941.34	$3,654.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $1,027.85 / $2,193.91	Professional		$279.77	$1,027.85	$2,193.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.20 / $346.20 / $2,754.40	Professional		$346.20	$346.20	$2,754.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $279.77 / $459.52 / $459.52	Facility		$279.77	$459.52	$459.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $584.95 / $1,816.07	Professional		$267.52	$584.95	$1,816.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $260.81 / $313.10 / $1,021.83	Facility		$260.81	$313.10	$1,021.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.81 / $313.10 / $1,109.59	Professional		$260.81	$313.10	$1,109.59
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 $947.04 / $1,342.90 / $2,370.48	Professional		$947.04	$1,342.90	$2,370.48