Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.91 / $2,505.00 / $8,017.00	Facility		$313.91	$2,505.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $178.79 / $346.48	Professional		$69.09	$178.79	$346.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $230.88 / $230.88	Professional		$230.88	$230.88	$230.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $231.13 / $271.92 / $443.32	Professional		$231.13	$271.92	$443.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.29 / $526.00 / $2,109.00	Facility		$309.29	$526.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $200.00 / $426.51	Professional		$71.06	$200.00	$426.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.74 / $168.74 / $168.74	Facility		$168.74	$168.74	$168.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $427.78 / $543.98	Professional		$319.39	$427.78	$543.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,793.65 / $2,516.30 / $13,669.45	Facility		$1,793.65	$2,516.30	$13,669.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $150.47 / $359.35	Professional		$111.90	$150.47	$359.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $420.13 / $2,371.00 / $7,799.00	Facility		$420.13	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $212.12 / $567.66	Professional		$69.89	$212.12	$567.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $85.80 / $623.60	Professional		$72.70	$85.80	$623.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $500.00 / $2,151.00	Facility		$128.25	$500.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $204.85 / $426.51	Professional		$72.64	$204.85	$426.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $112.79 / $270.64	Facility		$73.05	$112.79	$270.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $172.91 / $294.44	Professional		$73.05	$172.91	$294.44
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $275.08 / $463.46	Professional		$179.50	$275.08	$463.46