Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $1,819.00 / $8,017.00	Facility		$177.22	$1,819.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $149.63 / $321.56	Professional		$114.96	$149.63	$321.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Professional		$244.07	$244.07	$244.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $237.84 / $286.93	Professional		$186.06	$237.84	$286.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $183.21 / $309.11	Professional		$126.28	$183.21	$309.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $299.27 / $305.39	Professional		$225.49	$299.27	$305.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,728.52 / $5,689.03 / $8,211.74	Facility		$3,728.52	$5,689.03	$8,211.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $210.89 / $1,819.00 / $8,017.00	Facility		$210.89	$1,819.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $189.06 / $385.05	Professional		$117.41	$189.06	$385.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $164.60 / $521.29	Professional		$3.00	$164.60	$521.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $192.87 / $309.11	Professional		$127.18	$192.87	$309.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $130.77 / $188.00	Facility		$109.93	$130.77	$188.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $144.57 / $202.35	Professional		$127.61	$144.57	$202.35
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $186.75 / $320.62	Professional		$136.82	$186.75	$320.62