Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,371.00 / $6,012.00	Facility		$428.00	$2,371.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.41 / $328.49 / $629.48	Professional		$217.41	$328.49	$629.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $208.44 / $402.53	Professional		$208.44	$208.44	$402.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $227.69 / $227.69	Professional		$219.41	$227.69	$227.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $4,384.47	Facility		$320.00	$1,113.00	$4,384.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.53 / $398.38 / $688.72	Professional		$213.53	$398.38	$688.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $488.99 / $488.99 / $488.99	Facility		$488.99	$488.99	$488.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $337.58 / $448.92	Professional		$262.56	$337.58	$448.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,686.96 / $5,918.15 / $10,941.08	Facility		$1,686.96	$5,918.15	$10,941.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $463.95 / $2,321.00 / $7,197.00	Facility		$463.95	$2,321.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $346.86 / $950.44	Professional		$220.20	$346.86	$950.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $450.90 / $450.90	Facility		$450.90	$450.90	$450.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $471.50 / $773.20	Professional		$4.00	$471.50	$773.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $795.00 / $4,172.08	Facility		$251.53	$795.00	$4,172.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $394.69 / $692.10	Professional		$217.34	$394.69	$692.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $215.34 / $215.34 / $433.71	Facility		$215.34	$215.34	$433.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $219.01 / $433.71	Professional		$206.18	$219.01	$433.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,475.00 / $6,368.00	Facility		$1,265.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $300.14 / $483.63	Professional		$205.45	$300.14	$483.63