Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $1,819.00 / $6,186.33	Facility		$259.77	$1,819.00	$6,186.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $183.15 / $361.28	Professional		$87.98	$183.15	$361.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $173.89 / $423.62	Professional		$72.70	$173.89	$423.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,396.00 / $8,639.91	Facility		$2,404.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $235.41 / $322.45	Professional		$226.85	$235.41	$322.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $699.87 / $1,392.35	Facility		$320.00	$699.87	$1,392.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $191.83 / $393.66	Professional		$98.36	$191.83	$393.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.50 / $230.50 / $230.50	Facility		$230.50	$230.50	$230.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $370.14 / $469.74	Professional		$275.79	$370.14	$469.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $1,858.33 / $3,587.41	Facility		$556.79	$1,858.33	$3,587.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $244.00 / $380.64	Professional		$105.21	$244.00	$380.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $1,875.51 / $6,492.20	Facility		$321.43	$1,875.51	$6,492.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $201.47 / $509.18	Professional		$96.77	$201.47	$509.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $180.50 / $180.50	Facility		$180.50	$180.50	$180.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $192.40 / $514.20	Professional		$145.66	$192.40	$514.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $694.37 / $1,392.35	Facility		$171.40	$694.37	$1,392.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $191.83 / $393.66	Professional		$99.60	$191.83	$393.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $128.43 / $228.65	Facility		$98.70	$128.43	$228.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $199.33 / $248.12	Professional		$98.70	$199.33	$248.12
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $226.28 / $391.64	Professional		$172.53	$226.28	$391.64