Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $2,106.00 / $5,868.00	Facility		$173.03	$2,106.00	$5,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $149.93 / $239.17	Professional		$78.37	$149.93	$239.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $123.58 / $123.58	Professional		$115.86	$123.58	$123.58
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 $168.96 / $175.34 / $203.19	Professional		$168.96	$175.34	$203.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,004.78 / $1,995.45	Facility		$320.00	$1,004.78	$1,995.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $164.91 / $304.60	Professional		$87.78	$164.91	$304.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $178.14 / $178.14	Facility		$178.14	$178.14	$178.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $267.31 / $341.54	Professional		$202.03	$267.31	$341.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.59 / $4,086.03 / $7,769.05	Facility		$1,261.59	$4,086.03	$7,769.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $92.65	Professional		$82.93	$82.93	$92.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.77 / $2,070.00 / $6,408.56	Facility		$186.77	$2,070.00	$6,408.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $165.23 / $445.16	Professional		$81.22	$165.23	$445.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $344.80 / $344.80 / $344.80	Facility		$344.80	$344.80	$344.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $344.80 / $464.50	Professional		$5.00	$344.80	$464.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $795.00 / $1,898.78	Facility		$140.38	$795.00	$1,898.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $167.37 / $310.33	Professional		$88.56	$167.37	$310.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $153.97 / $621.37	Facility		$81.22	$153.97	$621.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $166.73 / $181.74	Professional		$81.22	$166.73	$181.74
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $202.07 / $337.03	Professional		$151.55	$202.07	$337.03