Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $6,432.00 / $12,011.32	Facility		$1,426.00	$6,432.00	$12,011.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $626.34 / $2,509.09	Professional		$217.48	$626.34	$2,509.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $432.46 / $432.46	Professional		$432.46	$432.46	$432.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $10,972.24 / $28,970.26	Facility		$8,639.91	$10,972.24	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,887.36 / $1,958.58 / $1,958.58	Professional		$1,887.36	$1,958.58	$1,958.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $1,857.02 / $3,370.28	Professional		$292.27	$1,857.02	$3,370.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,334.67 / $3,099.04 / $3,217.36	Professional		$2,334.67	$3,099.04	$3,217.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.93 / $10,479.53 / $17,708.09	Facility		$3,523.93	$10,479.53	$17,708.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $6,588.52 / $12,971.49	Facility		$1,054.00	$6,588.52	$12,971.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $231.55 / $645.91 / $3,212.85	Professional		$231.55	$645.91	$3,212.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $581.40 / $6,127.60	Professional		$4.00	$581.40	$6,127.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $1,848.66 / $3,635.52	Professional		$292.27	$1,848.66	$3,635.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $241.22 / $387.45 / $2,471.48	Facility		$241.22	$387.45	$2,471.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $2,008.95 / $2,240.44	Professional		$241.22	$2,008.95	$2,240.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.22 / $2,455.29 / $3,754.01	Professional		$1,778.22	$2,455.29	$3,754.01