Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $1,978.00 / $7,197.00	Facility		$178.90	$1,978.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $188.88 / $413.79	Professional		$107.60	$188.88	$413.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
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 $223.34 / $241.44 / $250.55	Professional		$223.34	$241.44	$250.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $897.93 / $1,783.25	Facility		$320.00	$897.93	$1,783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $212.08 / $417.68	Professional		$117.53	$212.08	$417.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.62 / $274.62 / $274.62	Facility		$274.62	$274.62	$274.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $392.10 / $498.95	Professional		$292.22	$392.10	$498.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $2,837.60 / $4,418.58	Facility		$1,761.45	$2,837.60	$4,418.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $223.27 / $325.94	Professional		$135.30	$223.27	$325.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $274.85 / $2,057.00 / $7,197.00	Facility		$274.85	$2,057.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $223.45 / $626.48	Professional		$112.37	$223.45	$626.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $152.40 / $542.50	Professional		$123.80	$152.40	$542.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $795.00 / $1,696.86	Facility		$205.53	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $213.39 / $417.68	Professional		$119.62	$213.39	$417.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.48 / $123.16 / $243.05	Facility		$118.48	$123.16	$243.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $189.59 / $262.88	Professional		$118.48	$189.59	$262.88
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 $136.44 / $239.56 / $416.82	Professional		$136.44	$239.56	$416.82