Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.04 / $4,250.00 / $10,527.00	Facility		$645.04	$4,250.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $2,104.09 / $2,904.46	Professional		$408.93	$2,104.09	$2,904.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,938.14 / $1,938.14 / $1,938.14	Professional		$1,938.14	$1,938.14	$1,938.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,828.97 / $3,409.65 / $4,011.35	Professional		$1,828.97	$3,409.65	$4,011.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.90 / $1,005.42 / $3,824.41	Professional		$470.90	$1,005.42	$3,824.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,377.50 / $3,377.50 / $3,493.33	Professional		$3,377.50	$3,377.50	$3,493.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,927.29 / $34,376.25 / $36,141.79	Facility		$20,927.29	$34,376.25	$36,141.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,299.69 / $2,299.69 / $2,299.69	Professional		$2,299.69	$2,299.69	$2,299.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $5,254.00 / $11,182.00	Facility		$832.00	$5,254.00	$11,182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $2,104.09 / $3,305.66	Professional		$408.93	$2,104.09	$3,305.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $437.70 / $875.40 / $3,912.24	Professional		$437.70	$875.40	$3,912.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $1,005.42 / $3,698.19	Professional		$482.72	$1,005.42	$3,698.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $427.18 / $483.35 / $2,391.28	Facility		$427.18	$483.35	$2,391.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $427.18 / $483.35 / $2,383.39	Professional		$427.18	$483.35	$2,383.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $12,076.00	Facility		$3,340.00	$7,000.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,191.11 / $2,774.84 / $4,393.82	Professional		$2,191.11	$2,774.84	$4,393.82