Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.26 / $2,747.00 / $8,017.00	Facility		$197.26	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $201.83 / $345.60	Professional		$132.93	$201.83	$345.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.38 / $264.38 / $399.71	Professional		$264.38	$264.38	$399.71
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 $217.05 / $225.24 / $371.30	Professional		$217.05	$225.24	$371.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $239.61 / $395.51	Professional		$153.74	$239.61	$395.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $342.52 / $349.73	Professional		$258.70	$342.52	$349.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,294.07 / $5,294.07 / $5,294.07	Facility		$5,294.07	$5,294.07	$5,294.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,077.00 / $8,017.00	Facility		$918.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $223.36 / $590.12	Professional		$137.18	$223.36	$590.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $353.70 / $574.70	Professional		$3.00	$353.70	$574.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $244.42 / $395.51	Professional		$157.54	$244.42	$395.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $173.33 / $271.73	Facility		$141.41	$173.33	$271.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $208.71 / $227.23	Professional		$141.41	$208.71	$227.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $279.10 / $463.38	Professional		$218.69	$279.10	$463.38