Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $5,823.00 / $10,510.00	Facility		$932.00	$5,823.00	$10,510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.99 / $540.99 / $1,768.00	Professional		$471.99	$540.99	$1,768.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,012.09 / $1,012.09 / $1,073.52	Professional		$1,012.09	$1,012.09	$1,073.52
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 $582.62 / $604.60 / $604.60	Professional		$582.62	$604.60	$604.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $705.80 / $1,096.32	Professional		$523.28	$705.80	$1,096.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $927.38 / $928.68	Professional		$697.84	$927.38	$928.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,711.79 / $8,470.29 / $13,862.94	Facility		$3,711.79	$8,470.29	$13,862.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.83 / $5,685.18 / $10,247.00	Facility		$934.83	$5,685.18	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $471.99 / $819.38 / $1,768.00	Professional		$471.99	$819.38	$1,768.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $627.60 / $1,523.60	Professional		$4.00	$627.60	$1,523.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $545.42 / $706.83 / $1,175.83	Professional		$545.42	$706.83	$1,175.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $519.24 / $573.99 / $573.99	Facility		$519.24	$573.99	$573.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $519.24 / $573.99 / $609.96	Professional		$519.24	$573.99	$609.96
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 $495.43 / $668.60 / $1,098.63	Professional		$495.43	$668.60	$1,098.63