Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.36 / $3,839.00 / $8,113.00	Facility		$389.36	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $389.36 / $1,253.14	Professional		$340.60	$389.36	$1,253.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,958.00 / $3,958.00 / $3,958.00	Professional		$3,958.00	$3,958.00	$3,958.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $373.31 / $439.19 / $720.01	Professional		$373.31	$439.19	$720.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $575.00 / $2,151.00	Facility		$413.28	$575.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.73 / $477.33 / $808.86	Professional		$339.73	$477.33	$808.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $909.53 / $909.53 / $909.53	Facility		$909.53	$909.53	$909.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $511.27 / $659.29 / $1,282.67	Professional		$511.27	$659.29	$1,282.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.57 / $594.57 / $594.57	Professional		$594.57	$594.57	$594.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $487.38 / $1,441.11	Professional		$340.60	$487.38	$1,441.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $471.80 / $471.80 / $471.80	Facility		$471.80	$471.80	$471.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $471.80 / $516.60	Professional		$471.80	$471.80	$516.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $575.00 / $2,151.00	Facility		$413.28	$575.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $469.81 / $837.07	Professional		$348.78	$469.81	$837.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $413.82 / $413.82 / $444.19	Facility		$413.82	$413.82	$444.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $349.41 / $422.10 / $884.60	Professional		$349.41	$422.10	$884.60
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.99 / $459.15 / $797.27	Professional		$308.99	$459.15	$797.27