Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $6,432.00 / $15,165.85	Facility		$1,013.00	$6,432.00	$15,165.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $344.89 / $1,260.00	Professional		$270.38	$344.89	$1,260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.51 / $314.51 / $314.51	Professional		$314.51	$314.51	$314.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $6,655.85 / $11,048.00	Facility		$4,150.00	$6,655.85	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $304.14 / $304.14	Professional		$293.08	$304.14	$304.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,019.00 / $8,051.32	Facility		$491.00	$2,019.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $366.16 / $583.69	Professional		$271.42	$366.16	$583.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $657.45 / $657.45 / $657.45	Facility		$657.45	$657.45	$657.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.74 / $461.27 / $597.99	Professional		$347.74	$461.27	$597.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,797.09 / $11,561.95 / $22,168.80	Facility		$2,797.09	$11,561.95	$22,168.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $6,416.45 / $17,107.98	Facility		$768.00	$6,416.45	$17,107.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $431.86 / $1,342.00	Professional		$280.01	$431.86	$1,342.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $353.70 / $9,582.02 / $9,582.02	Facility		$353.70	$9,582.02	$9,582.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $424.60 / $743.30	Professional		$5.00	$424.60	$743.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $1,657.00 / $7,661.29	Facility		$331.64	$1,657.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $365.42 / $606.13	Professional		$276.49	$365.42	$606.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $286.00 / $390.20	Facility		$286.00	$286.00	$390.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $278.31 / $286.33 / $390.20	Professional		$278.31	$286.33	$390.20
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $337.27 / $544.79	Professional		$256.01	$337.27	$544.79