Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.56 / $988.00 / $6,012.00	Facility		$189.56	$988.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $171.93 / $341.63	Professional		$100.17	$171.93	$341.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $105.19 / $105.19	Professional		$105.19	$105.19	$105.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $208.24 / $333.49	Professional		$200.67	$208.24	$333.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $343.23 / $795.00	Facility		$186.59	$343.23	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $193.85 / $365.35	Professional		$108.36	$193.85	$365.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $249.63 / $249.63 / $249.63	Facility		$249.63	$249.63	$249.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $326.00 / $413.93	Professional		$242.52	$326.00	$413.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.70 / $613.35 / $1,364.76	Facility		$244.70	$613.35	$1,364.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $243.84 / $409.27	Professional		$93.70	$243.84	$409.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $237.68 / $1,541.00 / $7,175.00	Facility		$237.68	$1,541.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $201.14 / $570.51	Professional		$108.10	$201.14	$570.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $226.60 / $226.60 / $226.60	Facility		$226.60	$226.60	$226.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $239.30 / $451.80	Professional		$158.26	$239.30	$451.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $343.00 / $1,113.00	Facility		$186.59	$343.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $191.30 / $365.59	Professional		$110.16	$191.30	$365.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $110.16 / $220.66	Facility		$107.06	$110.16	$220.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $197.77 / $217.38	Professional		$107.06	$197.77	$217.38
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $218.71 / $375.48	Professional		$160.08	$218.71	$375.48