Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.86 / $3,590.40 / $8,017.00	Facility		$703.86	$3,590.40	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $234.92 / $759.23	Professional		$87.96	$234.92	$759.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $656.42 / $681.19 / $1,152.18	Professional		$656.42	$681.19	$1,152.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $500.00 / $880.00	Facility		$158.18	$500.00	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $211.01 / $1,032.34	Professional		$92.72	$211.01	$1,032.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Facility		$202.50	$202.50	$202.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $804.19 / $1,039.74 / $1,369.97	Professional		$804.19	$1,039.74	$1,369.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,037.81 / $4,452.07 / $7,347.78	Facility		$2,037.81	$4,452.07	$7,347.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $98.23 / $163.44	Professional		$92.06	$98.23	$163.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,824.77 / $8,017.00	Facility		$934.00	$3,824.77	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $389.21 / $1,400.68	Professional		$92.28	$389.21	$1,400.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.00 / $106.00	Facility		$106.00	$106.00	$106.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $142.80 / $1,578.30	Professional		$106.00	$142.80	$1,578.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $500.00 / $880.00	Facility		$158.18	$500.00	$880.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $214.19 / $1,021.99	Professional		$93.43	$214.19	$1,021.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $301.37 / $537.04	Facility		$90.61	$301.37	$537.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $467.40 / $585.76	Professional		$90.61	$467.40	$585.76
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $6,000.00	Facility		$814.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $726.43 / $1,289.50	Professional		$513.70	$726.43	$1,289.50