Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,825.00 / $5,958.00	Facility		$540.00	$1,825.00	$5,958.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $518.26 / $2,847.35	Professional		$266.27	$518.26	$2,847.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $304.97 / $2,887.81	Professional		$229.95	$304.97	$2,887.81
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 $1,003.47 / $2,290.16 / $5,614.60	Professional		$1,003.47	$2,290.16	$5,614.60
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 $288.72 / $641.36 / $4,163.25	Professional		$288.72	$641.36	$4,163.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $587.35 / $587.35	Facility		$587.35	$587.35	$587.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,406.07 / $3,507.75 / $4,607.43	Professional		$2,406.07	$3,507.75	$4,607.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.78 / $1,746.91 / $3,985.53	Facility		$541.78	$1,746.91	$3,985.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.01 / $403.00 / $562.23	Professional		$293.01	$403.00	$562.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,543.00 / $7,799.00	Facility		$540.00	$2,543.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $579.64 / $4,136.27	Professional		$276.93	$579.64	$4,136.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $609.79 / $1,346.88 / $1,346.88	Facility		$609.79	$1,346.88	$1,346.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $645.20 / $5,629.80	Professional		$337.13	$645.20	$5,629.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $454.13 / $942.93 / $2,656.00	Facility		$454.13	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $288.72 / $645.41 / $4,034.95	Professional		$288.72	$645.41	$4,034.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $261.85 / $312.87 / $3,424.21	Facility		$261.85	$312.87	$3,424.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $261.85 / $2,312.21 / $2,580.96	Professional		$261.85	$2,312.21	$2,580.96
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $2,991.83 / $5,557.70	Professional		$568.94	$2,991.83	$5,557.70