Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.60 / $2,070.00 / $6,178.30	Facility		$189.60	$2,070.00	$6,178.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $278.82 / $488.38	Professional		$118.27	$278.82	$488.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $102.34 / $171.53	Professional		$53.43	$102.34	$171.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $252.91 / $297.54 / $297.54	Professional		$252.91	$297.54	$297.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $897.93 / $1,783.25	Facility		$320.00	$897.93	$1,783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $264.52 / $515.45	Professional		$130.06	$264.52	$515.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.58 / $263.58 / $263.58	Facility		$263.58	$263.58	$263.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $461.94 / $590.22	Professional		$348.34	$461.94	$590.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,490.52 / $3,806.34	Facility		$950.00	$2,490.52	$3,806.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $152.30 / $227.59	Professional		$138.44	$152.30	$227.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $246.98 / $1,978.00 / $5,868.00	Facility		$246.98	$1,978.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $298.92 / $732.91	Professional		$123.00	$298.92	$732.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $262.30 / $262.30 / $262.30	Facility		$262.30	$262.30	$262.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $316.50 / $757.60	Professional		$156.38	$316.50	$757.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $795.00 / $1,696.86	Facility		$202.46	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $270.49 / $500.14	Professional		$130.47	$270.49	$500.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $188.25 / $376.42	Facility		$116.02	$188.25	$376.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $284.70 / $312.06	Professional		$116.02	$284.70	$312.06
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 $247.24 / $333.32 / $550.05	Professional		$247.24	$333.32	$550.05