Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,700.00 / $11,055.43	Facility		$428.00	$2,700.00	$11,055.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $176.67 / $353.21	Professional		$71.20	$176.67	$353.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $71.83 / $173.41	Professional		$65.84	$71.83	$173.41
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 $165.05 / $270.12 / $392.16	Professional		$165.05	$270.12	$392.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $631.00	Facility		$119.71	$119.71	$631.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $144.59 / $329.92	Professional		$76.52	$144.59	$329.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $267.20 / $493.35	Professional		$210.10	$267.20	$493.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.33 / $1,462.00 / $1,516.00	Facility		$1,388.33	$1,462.00	$1,516.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $85.00 / $85.67	Professional		$80.36	$85.00	$85.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $8,247.00	Facility		$617.00	$2,422.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $182.63 / $459.05	Professional		$72.95	$182.63	$459.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $136.69 / $357.90	Professional		$136.69	$136.69	$357.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $631.00	Facility		$119.71	$119.71	$631.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $143.93 / $319.20	Professional		$76.15	$143.93	$319.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.16 / $83.86 / $230.68	Facility		$68.16	$83.86	$230.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $161.63 / $177.36	Professional		$68.16	$161.63	$177.36
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $577.00 / $3,742.00	Facility		$144.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $231.81 / $395.97	Professional		$182.99	$231.81	$395.97