Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.98 / $1,926.00 / $7,175.00	Facility		$298.98	$1,926.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $372.00 / $896.61	Professional		$139.09	$372.00	$896.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $169.93 / $594.02	Professional		$154.00	$169.93	$594.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,777.40 / $4,492.00 / $15,949.31	Facility		$3,777.40	$4,492.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $650.73 / $899.48 / $1,110.68	Professional		$650.73	$899.48	$1,110.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $356.95 / $1,055.00	Professional		$163.83	$356.95	$1,055.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.16 / $1,058.49 / $1,131.00	Professional		$791.16	$1,058.49	$1,131.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.46 / $2,866.63 / $8,896.51	Facility		$799.46	$2,866.63	$8,896.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $202.18 / $710.92	Professional		$168.92	$202.18	$710.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,901.00 / $7,197.00	Facility		$428.00	$1,901.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $527.48 / $1,202.58	Professional		$153.01	$527.48	$1,202.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $325.39 / $1,290.35	Professional		$214.10	$325.39	$1,290.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $352.41 / $1,032.96	Professional		$163.83	$352.41	$1,032.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $163.96 / $678.07	Facility		$162.40	$163.96	$678.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $604.84 / $736.59	Professional		$162.40	$604.84	$736.59
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 $584.69 / $739.75 / $1,347.56	Professional		$584.69	$739.75	$1,347.56