Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.49 / $2,543.00 / $7,799.00	Facility		$459.49	$2,543.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $252.94 / $560.16	Professional		$162.80	$252.94	$560.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $152.08 / $199.24	Professional		$152.08	$152.08	$199.24
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 $401.76 / $443.07 / $706.78	Professional		$401.76	$443.07	$706.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $326.94 / $781.22	Professional		$174.58	$326.94	$781.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $372.92 / $372.92 / $372.92	Facility		$372.92	$372.92	$372.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $519.88 / $737.17	Professional		$207.19	$519.88	$737.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,469.28 / $4,469.28 / $4,469.28	Facility		$4,469.28	$4,469.28	$4,469.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $203.45 / $306.08	Professional		$203.45	$203.45	$306.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,675.00 / $8,017.00	Facility		$652.00	$2,675.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $425.00 / $1,117.58	Professional		$167.81	$425.00	$1,117.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $336.00 / $995.80	Professional		$219.71	$336.00	$995.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $1,225.90 / $2,316.65	Facility		$286.80	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $329.42 / $781.22	Professional		$180.03	$329.42	$781.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $201.17 / $436.02	Facility		$164.43	$201.17	$436.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $290.38 / $471.28	Professional		$164.43	$290.38	$471.28
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $445.98 / $838.59	Professional		$193.34	$445.98	$838.59