Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,978.00 / $7,197.00	Facility		$379.00	$1,978.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $220.41 / $353.22	Professional		$126.82	$220.41	$353.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $265.75 / $439.55	Professional		$191.78	$265.75	$439.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,052.00 / $1,366.00 / $8,459.92	Facility		$1,052.00	$1,366.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $245.72 / $245.72	Professional		$209.37	$245.72	$245.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $356.00 / $795.00	Facility		$234.94	$356.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $232.56 / $433.99	Professional		$139.00	$232.56	$433.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $310.74 / $310.74 / $310.74	Facility		$310.74	$310.74	$310.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $380.77 / $486.51	Professional		$287.04	$380.77	$486.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $283.07 / $311.38	Professional		$106.00	$283.07	$311.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,799.00	Facility		$617.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $235.61 / $624.00	Professional		$127.06	$235.61	$624.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $203.10 / $203.10	Facility		$203.10	$203.10	$203.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $226.10 / $557.79	Professional		$195.30	$226.10	$557.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $343.00 / $1,113.00	Facility		$233.79	$343.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $234.55 / $433.99	Professional		$141.07	$234.55	$433.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.11 / $133.72 / $231.42	Facility		$109.11	$133.72	$231.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $196.47 / $249.15	Professional		$130.27	$196.47	$249.15
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 $190.75 / $247.77 / $437.27	Professional		$190.75	$247.77	$437.27