Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.75 / $2,747.00 / $9,534.00	Facility		$531.75	$2,747.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $596.27 / $1,114.50	Professional		$197.00	$596.27	$1,114.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.38 / $308.38 / $308.38	Professional		$308.38	$308.38	$308.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $769.45 / $798.49 / $798.49	Professional		$769.45	$798.49	$798.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $1,113.00 / $2,434.58	Facility		$343.38	$1,113.00	$2,434.58
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $449.93 / $1,560.43	Professional		$221.56	$449.93	$1,560.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $440.16 / $440.16 / $440.16	Facility		$440.16	$440.16	$440.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $1,245.95 / $1,591.95	Professional		$939.99	$1,245.95	$1,591.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,634.37 / $4,878.09 / $8,761.14	Facility		$3,634.37	$4,878.09	$8,761.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $230.62 / $230.62	Professional		$230.62	$230.62	$230.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,679.00 / $8,017.00	Facility		$594.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $617.64 / $1,609.11	Professional		$201.08	$617.64	$1,609.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.09 / $1,300.09 / $1,300.09	Facility		$1,300.09	$1,300.09	$1,300.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,536.90 / $2,350.80	Professional		$4.00	$1,536.90	$2,350.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $795.00 / $2,316.65	Facility		$343.38	$795.00	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $462.02 / $1,527.58	Professional		$221.56	$462.02	$1,527.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $196.67 / $641.99 / $2,932.57	Facility		$196.67	$641.99	$2,932.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $792.94 / $875.16	Professional		$196.67	$792.94	$875.16
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.20 / $1,104.76 / $1,820.28	Professional		$818.20	$1,104.76	$1,820.28