Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $1,175.49 / $4,888.00	Facility		$205.50	$1,175.49	$4,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $141.90 / $281.73	Professional		$77.56	$141.90	$281.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $56.36 / $74.97	Professional		$34.11	$56.36	$74.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $188.02 / $188.02	Professional		$181.19	$188.02	$188.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $719.77 / $1,418.21	Facility		$320.00	$719.77	$1,418.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $162.19 / $334.98	Professional		$83.74	$162.19	$334.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.35 / $175.35 / $175.35	Facility		$175.35	$175.35	$175.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $220.04 / $312.45	Professional		$85.00	$220.04	$312.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.26 / $1,464.07 / $2,655.77	Facility		$559.26	$1,464.07	$2,655.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $92.29 / $151.71	Professional		$86.30	$92.29	$151.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.55 / $1,324.08 / $5,526.00	Facility		$185.55	$1,324.08	$5,526.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $171.71 / $504.50	Professional		$77.84	$171.71	$504.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $114.50 / $2,023.08 / $2,023.08	Facility		$114.50	$2,023.08	$2,023.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $142.40 / $515.50	Professional		$6.00	$142.40	$515.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $714.12 / $1,404.00	Facility		$133.93	$714.12	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $164.09 / $334.98	Professional		$84.88	$164.09	$334.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $99.92 / $181.07	Facility		$77.37	$99.92	$181.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $153.65 / $195.56	Professional		$77.37	$153.65	$195.56
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $191.12 / $322.77	Professional		$141.22	$191.12	$322.77