Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.28 / $3,872.00 / $8,017.00	Facility		$235.28	$3,872.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $418.51 / $850.38	Professional		$127.63	$418.51	$850.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $244.98 / $244.98	Professional		$244.98	$244.98	$244.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $585.95 / $888.37 / $1,423.62	Professional		$585.95	$888.37	$1,423.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $2,390.62 / $5,037.67	Facility		$491.00	$2,390.62	$5,037.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $305.76 / $1,192.38	Professional		$146.13	$305.76	$1,192.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $283.95 / $283.95	Facility		$283.95	$283.95	$283.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $717.64 / $951.39 / $1,215.58	Professional		$717.64	$951.39	$1,215.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.55 / $9,996.69 / $15,653.00	Facility		$1,600.55	$9,996.69	$15,653.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.89 / $209.89 / $209.89	Professional		$209.89	$209.89	$209.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,654.00 / $8,017.00	Facility		$540.00	$3,654.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $558.66 / $1,426.00	Professional		$132.80	$558.66	$1,426.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $453.30 / $453.30 / $453.30	Facility		$453.30	$453.30	$453.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $453.30 / $1,807.90	Professional		$4.00	$453.30	$1,807.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $2,109.00 / $5,647.00	Facility		$222.24	$2,109.00	$5,647.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $314.88 / $1,171.58	Professional		$146.97	$314.88	$1,171.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $165.35 / $855.14	Facility		$126.78	$165.35	$855.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $604.35 / $668.83	Professional		$126.78	$604.35	$668.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $3,805.00 / $11,239.92	Facility		$1,384.00	$3,805.00	$11,239.92
United Facility/Professional Professional Modifier Low / Median / High Price $609.73 / $849.70 / $1,355.78	Professional		$609.73	$849.70	$1,355.78