Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.82 / $3,748.00 / $8,894.52	Facility		$514.82	$3,748.00	$8,894.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $470.33 / $954.52	Professional		$317.13	$470.33	$954.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $653.86 / $653.86 / $653.86	Professional		$653.86	$653.86	$653.86
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 $510.41 / $529.66 / $663.88	Professional		$510.41	$529.66	$663.88
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 $342.78 / $511.47 / $916.78	Professional		$342.78	$511.47	$916.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $800.16 / $800.16 / $800.16	Facility		$800.16	$800.16	$800.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $618.19 / $821.63 / $1,048.15	Professional		$618.19	$821.63	$1,048.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,931.19 / $7,269.67 / $12,311.04	Facility		$2,931.19	$7,269.67	$12,311.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.71 / $385.74 / $573.86	Professional		$341.71	$385.74	$573.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $4,068.00 / $8,894.52	Facility		$540.00	$4,068.00	$8,894.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $542.47 / $1,422.95	Professional		$336.71	$542.47	$1,422.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Facility		$516.79	$516.79	$516.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $509.32 / $658.00 / $1,211.11	Professional		$509.32	$658.00	$1,211.11
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 $348.04 / $520.23 / $882.78	Professional		$348.04	$520.23	$882.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $315.39 / $347.78 / $506.50	Facility		$315.39	$347.78	$506.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $337.38 / $448.28 / $543.20	Professional		$337.38	$448.28	$543.20
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 $416.46 / $576.28 / $1,015.98	Professional		$416.46	$576.28	$1,015.98