Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,197.00	Facility		$617.00	$2,266.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $253.23 / $841.94	Professional		$98.82	$253.23	$841.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $538.74	Professional		$89.39	$89.39	$538.74
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 $543.12 / $638.96 / $1,068.14	Professional		$543.12	$638.96	$1,068.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,109.00	Facility		$491.00	$958.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $392.04 / $1,175.00	Professional		$103.23	$392.04	$1,175.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.98 / $220.98 / $220.98	Facility		$220.98	$220.98	$220.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $759.83 / $1,008.11 / $1,284.27	Professional		$759.83	$1,008.11	$1,284.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.43 / $3,600.43 / $7,055.29	Facility		$3,600.43	$3,600.43	$7,055.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $170.45 / $186.80	Professional		$116.67	$170.45	$186.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,422.00 / $7,799.00	Facility		$657.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $337.15 / $1,178.79	Professional		$99.43	$337.15	$1,178.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $660.30 / $1,940.70	Professional		$4.00	$660.30	$1,940.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $942.93 / $2,656.00	Facility		$169.35	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $412.32 / $1,133.09	Professional		$103.99	$412.32	$1,133.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $119.08 / $644.79	Facility		$97.20	$119.08	$644.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $612.61 / $704.84	Professional		$97.20	$612.61	$704.84
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $2,391.00 / $4,178.47	Facility		$585.00	$2,391.00	$4,178.47
United Facility/Professional Professional Modifier Low / Median / High Price $548.16 / $707.04 / $1,196.98	Professional		$548.16	$707.04	$1,196.98