Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.09 / $3,839.00 / $8,247.00	Facility		$407.09	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $413.67 / $634.50	Professional		$349.75	$413.67	$634.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $787.09 / $787.09 / $787.09	Professional		$787.09	$787.09	$787.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $425.03 / $441.07 / $655.66	Professional		$425.03	$441.07	$655.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $548.50 / $863.77	Professional		$414.90	$548.50	$863.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.08 / $699.11 / $699.11	Professional		$520.08	$699.11	$699.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $359.91 / $455.03 / $1,077.83	Professional		$359.91	$455.03	$1,077.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $488.10 / $1,071.50	Professional		$4.00	$488.10	$1,071.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $551.94 / $903.67	Professional		$414.90	$551.94	$903.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $438.10	Facility		$418.79	$418.79	$438.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $400.93 / $425.87 / $443.05	Professional		$400.93	$425.87	$443.05
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $511.42 / $848.32	Professional		$383.36	$511.42	$848.32