Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,381.00 / $8,017.00	Facility		$594.00	$2,381.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.45 / $1,288.65 / $1,843.37	Professional		$347.45	$1,288.65	$1,843.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $330.97 / $330.97	Professional		$330.97	$330.97	$330.97
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 $1,280.19 / $2,184.01 / $3,053.35	Professional		$1,280.19	$2,184.01	$3,053.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.08 / $744.02 / $2,588.42	Professional		$362.08	$744.02	$2,588.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.40 / $2,025.66 / $2,649.57	Professional		$1,558.40	$2,025.66	$2,649.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,360.18 / $6,681.80 / $10,614.84	Facility		$4,360.18	$6,681.80	$10,614.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.36 / $584.17 / $584.17	Professional		$430.36	$584.17	$584.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $772.64 / $2,679.00 / $8,247.00	Facility		$772.64	$2,679.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.79 / $1,366.50 / $2,467.00	Professional		$363.79	$1,366.50	$2,467.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.75 / $1,788.90 / $3,246.40	Professional		$493.75	$1,788.90	$3,246.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $362.08 / $777.79 / $2,409.02	Professional		$362.08	$777.79	$2,409.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $342.79 / $1,398.38	Facility		$340.31	$342.79	$1,398.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $1,314.34 / $1,448.39	Professional		$340.31	$1,314.34	$1,448.39
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 $1,464.16 / $1,789.62 / $2,941.86	Professional		$1,464.16	$1,789.62	$2,941.86