Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,180.00 / $7,629.00	Facility		$574.00	$2,180.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $469.93 / $1,103.15	Professional		$230.27	$469.93	$1,103.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $330.39 / $337.03	Professional		$167.12	$330.39	$337.03
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 $674.82 / $793.90 / $1,345.26	Professional		$674.82	$793.90	$1,345.26
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 $229.82 / $613.47 / $1,473.49	Professional		$229.82	$613.47	$1,473.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $513.49 / $513.49 / $513.49	Facility		$513.49	$513.49	$513.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $936.22 / $1,242.48 / $1,586.81	Professional		$936.22	$1,242.48	$1,586.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.91 / $2,313.52 / $4,418.58	Facility		$1,746.91	$2,313.52	$4,418.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $270.29 / $454.26	Professional		$255.52	$270.29	$454.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,467.00 / $8,017.00	Facility		$574.00	$2,467.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $600.29 / $1,367.65	Professional		$234.60	$600.29	$1,367.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $447.70 / $447.70	Facility		$447.70	$447.70	$447.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $463.70 / $1,845.30	Professional		$292.54	$463.70	$1,845.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $942.93 / $2,656.00	Facility		$395.91	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $613.47 / $1,467.16	Professional		$234.67	$613.47	$1,467.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $272.39 / $797.79	Facility		$228.05	$272.39	$797.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $775.82 / $865.93	Professional		$228.05	$775.82	$865.93
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 $648.73 / $864.81 / $1,435.47	Professional		$648.73	$864.81	$1,435.47