Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $1,544.00 / $6,012.00	Facility		$97.35	$1,544.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $90.90 / $129.80	Professional		$51.42	$90.90	$129.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $54.46 / $54.46	Professional		$54.46	$54.46	$54.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $95.04 / $95.04	Professional		$91.58	$95.04	$95.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $181.26 / $795.00	Facility		$90.39	$181.26	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $101.73 / $193.88	Professional		$56.20	$101.73	$193.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $117.05 / $117.05	Facility		$117.05	$117.05	$117.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $145.77 / $186.25	Professional		$110.17	$145.77	$186.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.47 / $1,404.60 / $3,655.47	Facility		$375.47	$1,404.60	$3,655.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $53.97 / $53.97	Professional		$53.97	$53.97	$53.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $1,741.00 / $7,175.00	Facility		$130.46	$1,741.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $97.35 / $317.00	Professional		$51.86	$97.35	$317.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $127.20 / $127.20	Facility		$127.20	$127.20	$127.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $136.10 / $264.60	Professional		$5.00	$136.10	$264.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $320.00 / $1,113.00	Facility		$88.85	$320.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $103.66 / $201.72	Professional		$56.90	$103.66	$201.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $57.16 / $117.94	Facility		$51.34	$57.16	$117.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $92.59 / $101.19	Professional		$51.26	$92.59	$101.19
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $120.44 / $200.89	Professional		$90.30	$120.44	$200.89