Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $1,234.00 / $6,012.00	Facility		$147.97	$1,234.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $89.93 / $195.18	Professional		$29.62	$89.93	$195.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $26.50 / $28.72	Professional		$25.74	$26.50	$28.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,419.00 / $12,759.45	Facility		$1,084.00	$1,419.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $133.54 / $291.05	Professional		$128.68	$133.54	$291.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $66.68 / $262.33	Professional		$30.29	$66.68	$262.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $202.00 / $267.91	Professional		$156.38	$202.00	$267.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $510.58 / $1,083.44	Facility		$133.97	$510.58	$1,083.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $33.97 / $189.48	Professional		$32.68	$33.97	$189.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $198.26 / $1,426.00 / $7,175.00	Facility		$198.26	$1,426.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $125.49 / $241.20	Professional		$30.06	$125.49	$241.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $177.90 / $368.30	Professional		$177.90	$177.90	$368.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $66.68 / $248.02	Professional		$30.29	$66.68	$248.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $98.10 / $504.19	Facility		$29.81	$98.10	$504.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $129.18 / $142.69	Professional		$29.81	$129.18	$142.69
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $176.52 / $302.60	Professional		$141.87	$176.52	$302.60