Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.37 / $1,901.00 / $7,629.00	Facility		$316.37	$1,901.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $211.24 / $415.82	Professional		$172.88	$211.24	$415.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.66 / $437.66 / $437.66	Professional		$437.66	$437.66	$437.66
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 $210.16 / $247.25 / $454.50	Professional		$210.16	$247.25	$454.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $276.35 / $448.98	Professional		$197.25	$276.35	$448.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $377.33 / $377.33	Professional		$283.83	$377.33	$377.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.23 / $4,021.47 / $10,070.00	Facility		$1,839.23	$4,021.47	$10,070.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,246.67 / $7,799.00	Facility		$536.00	$2,246.67	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $228.06 / $643.74	Professional		$175.96	$228.06	$643.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $497.80 / $619.50	Professional		$3.00	$497.80	$619.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $280.70 / $455.06	Professional		$212.62	$280.70	$455.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $192.10 / $236.05 / $748.94	Facility		$192.10	$236.05	$748.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $229.11 / $666.02	Professional		$192.10	$229.11	$666.02
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $292.20 / $467.39	Professional		$224.47	$292.20	$467.39