Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.63 / $2,420.00 / $7,799.00	Facility		$602.63	$2,420.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $453.18 / $679.79	Professional		$167.08	$453.18	$679.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $470.11 / $996.01	Professional		$335.60	$470.11	$996.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,956.00 / $9,100.00	Facility		$3,292.00	$5,956.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $533.66 / $553.80 / $553.80	Professional		$533.66	$553.80	$553.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $3,858.13	Facility		$320.00	$1,113.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $405.45 / $929.74	Professional		$184.78	$405.45	$929.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $409.52 / $409.52	Facility		$409.52	$409.52	$409.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $653.72 / $867.64 / $1,107.26	Professional		$653.72	$867.64	$1,107.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,721.12 / $2,873.64 / $8,798.37	Facility		$1,721.12	$2,873.64	$8,798.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $220.81 / $613.96	Professional		$198.94	$220.81	$613.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $466.70 / $1,064.97	Professional		$167.87	$466.70	$1,064.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $329.50 / $329.50 / $329.50	Facility		$329.50	$329.50	$329.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $394.60 / $1,266.59	Professional		$261.95	$394.60	$1,266.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $795.00 / $3,671.23	Facility		$310.67	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $420.68 / $906.04	Professional		$187.03	$420.68	$906.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $285.79 / $529.55	Facility		$176.40	$285.79	$529.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $449.43 / $574.73	Professional		$176.40	$449.43	$574.73
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $3,339.99 / $8,734.42	Facility		$902.00	$3,339.99	$8,734.42
United Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $583.85 / $1,040.15	Professional		$388.56	$583.85	$1,040.15