Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,703.00 / $8,427.00	Facility		$428.00	$2,703.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $2,691.48 / $5,098.34	Professional		$150.22	$2,691.48	$5,098.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Professional		$120.06	$120.06	$120.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,299.75 / $4,626.38 / $6,742.21	Professional		$2,299.75	$4,626.38	$6,742.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $378.28 / $5,288.67	Professional		$179.97	$378.28	$5,288.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,233.63 / $4,290.03 / $4,478.64	Professional		$3,233.63	$4,290.03	$4,478.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.80 / $15,737.21 / $29,653.92	Facility		$1,744.80	$15,737.21	$29,653.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,703.00 / $8,624.54	Facility		$530.00	$2,703.00	$8,624.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $2,691.48 / $5,363.97	Professional		$160.68	$2,691.48	$5,363.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,250.89 / $8,256.90	Professional		$5.00	$4,250.89	$8,256.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $396.91 / $5,345.31	Professional		$185.24	$396.91	$5,345.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $186.26 / $3,917.62	Facility		$159.31	$186.26	$3,917.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $2,700.86 / $3,027.83	Professional		$159.31	$2,700.86	$3,027.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,563.00 / $8,261.00	Facility		$2,304.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,952.14 / $3,810.63 / $6,390.59	Professional		$2,952.14	$3,810.63	$6,390.59