Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.57 / $3,066.00 / $8,017.00	Facility		$472.57	$3,066.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $419.75 / $765.43	Professional		$282.50	$419.75	$765.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $559.34 / $810.68	Professional		$278.10	$559.34	$810.68
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 $471.46 / $489.25 / $489.25	Professional		$471.46	$489.25	$489.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,983.20 / $3,938.52	Facility		$526.00	$1,983.20	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $462.98 / $837.49	Professional		$307.43	$462.98	$837.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $725.00	Facility		$725.00	$725.00	$725.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $762.48 / $968.60	Professional		$573.29	$762.48	$968.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.93 / $6,523.91 / $9,720.86	Facility		$3,523.93	$6,523.91	$9,720.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.99 / $463.51 / $514.84	Professional		$311.99	$463.51	$514.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.79 / $3,627.00 / $8,017.00	Facility		$478.79	$3,627.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $298.80 / $485.00 / $1,101.74	Professional		$298.80	$485.00	$1,101.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $431.70 / $431.70 / $431.70	Facility		$431.70	$431.70	$431.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.70 / $524.20 / $1,119.68	Professional		$431.70	$524.20	$1,119.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $3,747.73	Facility		$526.00	$1,657.00	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $467.01 / $806.10	Professional		$310.23	$467.01	$806.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $276.35 / $311.82 / $464.52	Facility		$276.35	$311.82	$464.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $380.74 / $499.06	Professional		$302.77	$380.74	$499.06
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.02 / $527.62 / $905.92	Professional		$367.02	$527.62	$905.92