Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.11 / $3,839.00 / $8,247.00	Facility		$875.11	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.26 / $868.00 / $1,020.57	Professional		$785.26	$868.00	$1,020.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.03 / $612.03 / $612.03	Professional		$612.03	$612.03	$612.03
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 $727.13 / $754.57 / $754.57	Professional		$727.13	$754.57	$754.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.49 / $1,006.65 / $1,565.89	Professional		$706.49	$1,006.65	$1,565.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.75 / $1,100.75 / $1,168.50	Professional		$1,100.75	$1,100.75	$1,168.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $872.86 / $3,729.47	Professional		$700.00	$872.86	$3,729.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $676.90 / $1,787.90	Professional		$10.00	$676.90	$1,787.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $788.87 / $1,009.13 / $1,565.89	Professional		$788.87	$1,009.13	$1,565.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $711.85 / $711.85 / $745.44	Facility		$711.85	$711.85	$745.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $677.84 / $726.09 / $745.44	Professional		$677.84	$726.09	$745.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $961.05 / $1,611.71	Professional		$705.91	$961.05	$1,611.71