Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $1,688.00 / $6,012.00	Facility		$85.99	$1,688.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $101.53 / $216.92	Professional		$45.60	$101.53	$216.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $2,657.00 / $8,459.92	Facility		$1,524.00	$2,657.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $130.04 / $211.82	Professional		$58.95	$130.04	$211.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $271.43 / $795.00	Facility		$135.37	$271.43	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $106.97 / $232.49	Professional		$46.37	$106.97	$232.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $107.86 / $107.86	Facility		$107.86	$107.86	$107.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $153.08 / $216.91	Professional		$80.75	$153.08	$216.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.15 / $1,001.43 / $4,086.55	Facility		$750.15	$1,001.43	$4,086.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $149.72 / $207.98	Professional		$56.00	$149.72	$207.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $1,901.00 / $7,197.00	Facility		$140.21	$1,901.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $114.04 / $270.05	Professional		$46.99	$114.04	$270.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $68.30 / $68.30	Facility		$68.30	$68.30	$68.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $101.30 / $289.60	Professional		$68.30	$101.30	$289.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $320.00 / $1,113.00	Facility		$82.34	$320.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $107.89 / $233.98	Professional		$46.37	$107.89	$233.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $48.78 / $124.06	Facility		$46.92	$48.78	$124.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $96.56 / $134.22	Professional		$46.92	$96.56	$134.22
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,445.02 / $3,261.62	Facility		$345.00	$1,445.02	$3,261.62
United Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $133.76 / $226.48	Professional		$88.83	$133.76	$226.48