Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,847.00 / $9,534.00	Facility		$832.00	$3,847.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.87 / $1,583.45 / $2,779.39	Professional		$443.87	$1,583.45	$2,779.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $174.89 / $174.89	Professional		$174.89	$174.89	$174.89
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 $1,385.24 / $2,378.92 / $3,871.78	Professional		$1,385.24	$2,378.92	$3,871.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.79 / $960.54 / $3,571.61	Professional		$465.79	$960.54	$3,571.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.73 / $2,559.73 / $2,627.18	Professional		$2,559.73	$2,559.73	$2,627.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,254.40 / $3,254.40 / $3,425.60	Facility		$3,254.40	$3,254.40	$3,425.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.69 / $456.69 / $2,221.12	Professional		$456.69	$456.69	$2,221.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,526.00 / $10,121.00	Facility		$1,020.00	$5,526.00	$10,121.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $1,501.39 / $3,212.06	Professional		$446.56	$1,501.39	$3,212.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.67 / $3,752.80 / $5,255.30	Professional		$546.67	$3,752.80	$5,255.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $482.09 / $978.22 / $3,571.61	Professional		$482.09	$978.22	$3,571.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $414.43 / $705.27 / $4,220.75	Facility		$414.43	$705.27	$4,220.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $414.43 / $705.27 / $1,787.48	Professional		$414.43	$705.27	$1,787.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,564.00 / $8,261.00	Facility		$1,899.00	$4,564.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.42 / $2,711.22 / $3,981.55	Professional		$1,887.42	$2,711.22	$3,981.55