Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,555.26 / $2,187.23	Professional		$142.43	$1,555.26	$2,187.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,063.93 / $1,063.93 / $1,063.93	Professional		$1,063.93	$1,063.93	$1,063.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,082.90 / $2,218.02 / $2,888.02	Professional		$1,082.90	$2,218.02	$2,888.02
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,624.35 / $3,327.02 / $4,331.99	Professional	50	$1,624.35	$3,327.02	$4,331.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $346.96 / $2,597.40	Professional		$165.47	$346.96	$2,597.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.60 / $2,018.60 / $2,091.15	Professional		$2,018.60	$2,018.60	$2,091.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,680.22 / $2,680.22 / $2,846.04	Facility		$2,680.22	$2,680.22	$2,846.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,436.48 / $1,436.48 / $1,468.34	Professional		$1,436.48	$1,436.48	$1,468.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,017.00	Facility		$934.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $1,544.82 / $2,605.00	Professional		$156.18	$1,544.82	$2,605.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $1,237.80 / $2,279.10	Professional		$141.08	$1,237.80	$2,279.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $362.42 / $2,591.34	Professional		$169.29	$362.42	$2,591.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $171.81 / $1,755.97	Facility		$148.24	$171.81	$1,755.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $171.81 / $1,481.89	Professional		$148.24	$171.81	$1,481.89
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,300.00	Facility		$912.00	$2,391.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,581.87 / $2,020.30 / $3,239.61	Professional		$1,581.87	$2,020.30	$3,239.61