Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,605.00 / $7,950.08	Facility		$574.00	$2,605.00	$7,950.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $164.91 / $366.91	Professional		$146.71	$164.91	$366.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $145.72 / $226.21	Professional		$74.23	$145.72	$226.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,396.00 / $8,639.91	Facility		$2,404.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $162.19 / $162.19	Professional		$156.30	$162.19	$162.19
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 $154.59 / $207.82 / $355.72	Professional		$154.59	$207.82	$355.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $345.47 / $345.47 / $345.47	Facility		$345.47	$345.47	$345.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.12 / $240.92 / $307.82	Professional		$182.12	$240.92	$307.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,877.53 / $4,191.77 / $8,502.91	Facility		$1,877.53	$4,191.77	$8,502.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $200.22 / $295.13	Professional		$182.01	$200.22	$295.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,605.00 / $7,950.08	Facility		$574.00	$2,605.00	$7,950.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $205.19 / $767.00	Professional		$150.44	$205.19	$767.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.10 / $223.10 / $223.10	Facility		$223.10	$223.10	$223.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $294.39 / $395.00	Professional		$5.00	$294.39	$395.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $1,225.90 / $2,316.65	Facility		$178.03	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $207.08 / $362.69	Professional		$154.82	$207.08	$362.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.71 / $152.71 / $175.67	Facility		$152.71	$152.71	$175.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $153.25 / $175.67	Professional		$148.28	$153.25	$175.67
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 $140.77 / $191.46 / $314.14	Professional		$140.77	$191.46	$314.14