Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,077.00 / $8,751.26	Facility		$882.00	$3,077.00	$8,751.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $1,165.32 / $1,704.21	Professional		$272.44	$1,165.32	$1,704.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,174.73 / $2,025.45 / $2,772.88	Professional		$1,174.73	$2,025.45	$2,772.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $582.07 / $2,353.17	Professional		$271.02	$582.07	$2,353.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.07 / $1,858.28 / $2,439.88	Professional		$1,433.07	$1,858.28	$2,439.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $6,305.42 / $14,884.60	Facility		$0.50	$6,305.42	$14,884.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $311.70 / $789.51	Professional		$279.82	$311.70	$789.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,712.00 / $8,751.26	Facility		$934.00	$3,712.00	$8,751.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $1,192.19 / $2,191.59	Professional		$272.44	$1,192.19	$2,191.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $1,643.36 / $3,646.00	Professional		$311.00	$1,643.36	$3,646.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $594.38 / $2,211.65	Professional		$273.14	$594.38	$2,211.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $247.25 / $261.26 / $1,269.91	Facility		$247.25	$261.26	$1,269.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.25 / $1,218.01 / $1,346.36	Professional		$247.25	$1,218.01	$1,346.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,502.00 / $6,000.00	Facility		$2,155.00	$3,502.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.66 / $1,628.21 / $2,730.46	Professional		$1,275.66	$1,628.21	$2,730.46