Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.37 / $2,747.00 / $8,267.91	Facility		$748.37	$2,747.00	$8,267.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,396.31 / $2,020.65	Professional		$335.95	$1,396.31	$2,020.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.13 / $497.13 / $497.13	Professional		$497.13	$497.13	$497.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,215.57 / $2,335.56 / $3,232.22	Professional		$1,215.57	$2,335.56	$3,232.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.31 / $788.48 / $2,611.86	Professional		$386.31	$788.48	$2,611.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,239.52 / $2,239.52 / $2,309.96	Professional		$2,239.52	$2,239.52	$2,309.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,992.64 / $7,555.97 / $13,743.07	Facility		$3,992.64	$7,555.97	$13,743.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.52 / $1,035.52 / $1,040.57	Professional		$1,035.52	$1,035.52	$1,040.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,964.00 / $8,267.91	Facility		$749.00	$3,964.00	$8,267.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $1,396.31 / $3,088.88	Professional		$362.43	$1,396.31	$3,088.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $980.40 / $4,217.39	Professional		$5.00	$980.40	$4,217.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $800.02 / $2,546.86	Professional		$404.40	$800.02	$2,546.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $334.22 / $343.89 / $1,480.27	Facility		$334.22	$343.89	$1,480.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $347.13 / $1,480.27	Professional		$334.22	$347.13	$1,480.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,765.24 / $10,130.54	Facility		$2,332.00	$4,765.24	$10,130.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.55 / $2,004.20 / $3,085.69	Professional		$1,464.55	$2,004.20	$3,085.69