Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,819.00 / $7,197.00	Facility		$316.00	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $157.19 / $494.52	Professional		$93.96	$157.19	$494.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $126.58 / $126.58	Professional		$126.58	$126.58	$126.58
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 $141.99 / $151.25 / $250.41	Professional		$141.99	$151.25	$250.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $526.00 / $1,404.00	Facility		$158.83	$526.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $158.12 / $304.00	Professional		$95.94	$158.12	$304.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $206.91 / $206.91	Facility		$206.91	$206.91	$206.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $231.48 / $295.76	Professional		$174.63	$231.48	$295.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.83 / $459.83 / $459.83	Facility		$459.83	$459.83	$459.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $160.02 / $212.21	Professional		$106.92	$160.02	$212.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,070.00 / $7,799.00	Facility		$617.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $196.29 / $652.00	Professional		$97.72	$196.29	$652.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $229.81 / $402.70	Professional		$4.00	$229.81	$402.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $526.00 / $1,404.00	Facility		$158.83	$526.00	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $158.12 / $296.00	Professional		$97.15	$158.12	$296.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $103.61 / $147.54	Facility		$90.69	$103.61	$147.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $142.01 / $155.01	Professional		$90.69	$142.01	$155.01
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 $128.19 / $163.81 / $268.23	Professional		$128.19	$163.81	$268.23