Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $548.72 / $823.47	Professional		$118.95	$548.72	$823.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $509.23 / $509.23 / $509.23	Professional		$509.23	$509.23	$509.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $950.92 / $1,318.27	Professional		$479.00	$950.92	$1,318.27
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 $143.27 / $323.11 / $1,101.77	Professional		$143.27	$323.11	$1,101.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $882.79 / $882.79 / $907.89	Professional		$882.79	$882.79	$907.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,392.24 / $1,392.24 / $1,426.40	Facility		$1,392.24	$1,392.24	$1,426.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $241.27 / $241.27	Professional		$241.27	$241.27	$241.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $578.41 / $1,128.92	Professional		$129.68	$578.41	$1,128.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $512.29 / $1,024.59	Professional		$135.99	$512.29	$1,024.59
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 $149.59 / $323.11 / $1,076.44	Professional		$149.59	$323.11	$1,076.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $141.10 / $766.19	Facility		$140.77	$141.10	$766.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $146.56 / $616.39	Professional		$140.77	$146.56	$616.39
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.32 / $835.12 / $1,344.97	Professional		$661.32	$835.12	$1,344.97