Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $1,569.00 / $7,175.00	Facility		$160.22	$1,569.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $159.31 / $375.40	Professional		$107.12	$159.31	$375.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $323.79 / $323.79	Professional		$323.79	$323.79	$323.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $255.49 / $356.75	Professional		$175.53	$255.49	$356.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $191.17 / $321.89	Professional		$130.38	$191.17	$321.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $280.32 / $280.39	Professional		$210.81	$280.32	$280.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.55 / $1,845.00 / $5,026.83	Facility		$509.55	$1,845.00	$5,026.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $2,070.00 / $7,799.00	Facility		$480.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $198.60 / $473.48	Professional		$118.75	$198.60	$473.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $199.10 / $342.30	Professional		$3.00	$199.10	$342.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $198.71 / $325.02	Professional		$134.69	$198.71	$325.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $138.34 / $174.37	Facility		$118.80	$138.34	$174.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $169.06 / $184.59	Professional		$118.80	$169.06	$184.59
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $207.02 / $334.93	Professional		$157.86	$207.02	$334.93