Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,627.00 / $7,799.00	Facility		$768.00	$3,627.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,553.97 / $2,435.64	Professional		$166.05	$1,553.97	$2,435.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,410.34 / $1,410.34 / $2,135.00	Professional		$1,410.34	$1,410.34	$2,135.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,334.64 / $2,682.14 / $3,677.78	Professional		$1,334.64	$2,682.14	$3,677.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,001.95 / $4,023.22 / $5,516.68	Professional	50	$2,001.95	$4,023.22	$5,516.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $409.84 / $3,062.58	Professional		$192.93	$409.84	$3,062.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.92 / $2,488.92 / $2,579.32	Professional		$2,488.92	$2,488.92	$2,579.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,279.59 / $14,651.82 / $30,465.81	Facility		$5,279.59	$14,651.82	$30,465.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $270.58 / $1,792.94	Professional		$191.41	$270.58	$1,792.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,553.97 / $2,902.00	Professional		$166.05	$1,553.97	$2,902.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $1,427.42 / $2,854.84	Professional		$179.41	$1,427.42	$2,854.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $422.56 / $3,048.44	Professional		$199.85	$422.56	$3,048.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $200.32 / $2,236.31	Facility		$172.35	$200.32	$2,236.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $200.32 / $1,751.32	Professional		$172.35	$200.32	$1,751.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.93 / $2,457.41 / $4,075.89	Professional		$1,822.93	$2,457.41	$4,075.89