Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.81 / $1,748.12 / $4,761.00	Facility		$236.81	$1,748.12	$4,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $218.82 / $326.27	Professional		$108.80	$218.82	$326.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $111.90 / $111.90	Professional		$111.44	$111.90	$111.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $376.59 / $441.73	Professional		$243.14	$376.59	$441.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $233.48 / $449.98	Professional		$133.29	$233.48	$449.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.29 / $374.75 / $502.59	Professional		$290.29	$374.75	$502.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.15 / $1,488.94 / $1,932.07	Facility		$994.15	$1,488.94	$1,932.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $144.83 / $147.49	Professional		$139.58	$144.83	$147.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $269.51 / $1,819.00 / $5,868.00	Facility		$269.51	$1,819.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $238.81 / $653.91	Professional		$109.38	$238.81	$653.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $271.00 / $555.10	Professional		$166.50	$271.00	$555.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $231.22 / $448.51	Professional		$132.93	$231.22	$448.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $138.91 / $260.95	Facility		$116.29	$138.91	$260.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $245.71 / $268.08	Professional		$116.29	$245.71	$268.08
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,569.00 / $3,742.00	Facility		$435.00	$1,569.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $319.88 / $502.65	Professional		$247.70	$319.88	$502.65