Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.91 / $1,887.55 / $7,197.00	Facility		$227.91	$1,887.55	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $239.71 / $751.53	Professional		$125.63	$239.71	$751.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $208.57 / $370.91	Professional		$163.52	$208.57	$370.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $208.55 / $346.62	Professional		$189.55	$208.55	$346.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,109.00	Facility		$491.00	$958.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $214.59 / $389.44	Professional		$127.89	$214.59	$389.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $272.98 / $272.98 / $272.98	Facility		$272.98	$272.98	$272.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $319.25 / $407.90	Professional		$240.83	$319.25	$407.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $2,831.47 / $5,445.49	Facility		$178.43	$2,831.47	$5,445.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $144.66 / $229.04	Professional		$80.34	$144.66	$229.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $1,901.00 / $7,799.00	Facility		$286.27	$1,901.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $286.27 / $781.89	Professional		$130.65	$286.27	$781.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.10 / $199.10 / $199.10	Facility		$199.10	$199.10	$199.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $199.10 / $562.29	Professional		$4.00	$199.10	$562.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $942.93 / $2,656.00	Facility		$210.39	$942.93	$2,656.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $210.22 / $383.84	Professional		$129.53	$210.22	$383.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $139.91 / $205.81	Facility		$121.07	$139.91	$205.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $196.55 / $214.53	Professional		$121.07	$196.55	$214.53
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $234.55 / $377.07	Professional		$178.25	$234.55	$377.07