Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.53 / $2,202.00 / $7,175.00	Facility		$332.53	$2,202.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.25 / $423.83 / $705.61	Professional		$225.25	$423.83	$705.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $213.70 / $332.49	Professional		$213.70	$213.70	$332.49
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 $513.37 / $531.07 / $531.07	Professional		$513.37	$531.07	$531.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $905.03 / $1,865.00	Facility		$429.00	$905.03	$1,865.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $446.70 / $831.97	Professional		$248.52	$446.70	$831.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $499.00 / $499.00	Facility		$499.00	$499.00	$499.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $585.08 / $835.83	Professional		$427.50	$585.08	$835.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.80 / $2,353.42 / $3,272.50	Facility		$1,202.80	$2,353.42	$3,272.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $288.33 / $344.46	Professional		$247.79	$288.33	$344.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $332.53 / $2,180.00 / $7,197.00	Facility		$332.53	$2,180.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $464.35 / $999.00	Professional		$233.18	$464.35	$999.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $533.20 / $1,001.11 / $1,001.11	Facility		$533.20	$1,001.11	$1,001.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $565.20 / $1,068.70	Professional		$297.60	$565.20	$1,068.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $897.93 / $1,865.00	Facility		$384.52	$897.93	$1,865.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $249.83 / $447.71 / $806.77	Professional		$249.83	$447.71	$806.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $317.10 / $627.36	Facility		$220.22	$317.10	$627.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $464.71 / $508.94	Professional		$220.22	$464.71	$508.94
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 $420.53 / $548.77 / $920.25	Professional		$420.53	$548.77	$920.25