Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.90 / $3,066.00 / $7,253.90	Facility		$603.90	$3,066.00	$7,253.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $529.94 / $1,282.90	Professional		$372.32	$529.94	$1,282.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.05 / $746.98 / $791.97	Professional		$410.05	$746.98	$791.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.57 / $570.30 / $883.65	Professional		$549.57	$570.30	$883.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $905.03 / $1,892.18	Facility		$526.00	$905.03	$1,892.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $553.65 / $986.48	Professional		$391.37	$553.65	$986.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $972.03 / $972.03 / $972.03	Facility		$972.03	$972.03	$972.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.96 / $890.69 / $1,125.45	Professional		$664.96	$890.69	$1,125.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.38 / $2,947.58 / $5,081.37	Facility		$1,828.38	$2,947.58	$5,081.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $486.29 / $596.91	Professional		$417.92	$486.29	$596.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $626.98 / $3,623.00 / $7,799.00	Facility		$626.98	$3,623.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $401.90 / $620.58 / $1,518.73	Professional		$401.90	$620.58	$1,518.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $435.80 / $435.80	Facility		$435.80	$435.80	$435.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $435.80 / $510.00 / $1,205.70	Professional		$435.80	$510.00	$1,205.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $897.93 / $2,019.00	Facility		$526.00	$897.93	$2,019.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $402.98 / $557.41 / $986.48	Professional		$402.98	$557.41	$986.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $361.55 / $415.22 / $539.47	Facility		$361.55	$415.22	$539.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $402.91 / $443.51 / $578.44	Professional		$402.91	$443.51	$578.44
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 $422.39 / $610.04 / $1,047.46	Professional		$422.39	$610.04	$1,047.46