Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $1,188.59 / $5,350.00	Facility		$131.40	$1,188.59	$5,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $216.21 / $291.38	Professional		$107.46	$216.21	$291.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $132.63 / $210.20	Professional		$110.30	$132.63	$210.20
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 $241.46 / $371.61 / $435.99	Professional		$241.46	$371.61	$435.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $229.60 / $444.01	Professional		$131.11	$229.60	$444.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.41 / $372.37 / $499.12	Professional		$288.41	$372.37	$499.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $1,606.11 / $2,781.13	Facility		$462.78	$1,606.11	$2,781.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $134.66 / $143.18	Professional		$130.16	$134.66	$143.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $202.85 / $1,519.00 / $5,958.00	Facility		$202.85	$1,519.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $234.22 / $633.21	Professional		$108.04	$234.22	$633.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $267.60 / $452.19	Professional		$164.16	$267.60	$452.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $229.52 / $442.56	Professional		$130.75	$229.52	$442.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $136.61 / $257.54	Facility		$114.62	$136.61	$257.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $243.76 / $266.37	Professional		$114.62	$243.76	$266.37
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 $244.35 / $313.26 / $520.17	Professional		$244.35	$313.26	$520.17