Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $1,486.00 / $7,175.00	Facility		$290.69	$1,486.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $236.56 / $336.26	Professional		$112.17	$236.56	$336.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $115.06 / $171.57	Professional		$114.60	$115.06	$171.57
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 $263.31 / $403.92 / $475.45	Professional		$263.31	$403.92	$475.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $243.94 / $482.31	Professional		$136.96	$243.94	$482.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $406.77 / $544.63	Professional		$315.02	$406.77	$544.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.15 / $1,650.60 / $3,481.92	Facility		$584.15	$1,650.60	$3,481.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $148.55 / $210.67	Professional		$140.43	$148.55	$210.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $479.53 / $2,381.00 / $8,017.00	Facility		$479.53	$2,381.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $259.58 / $706.09	Professional		$113.82	$259.58	$706.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $292.50 / $599.20	Professional		$171.25	$292.50	$599.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $243.94 / $481.67	Professional		$136.81	$243.94	$481.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.27 / $143.12 / $280.87	Facility		$119.27	$143.12	$280.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $265.32 / $289.63	Professional		$119.27	$265.32	$289.63
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 $270.93 / $337.42 / $534.41	Professional		$270.93	$337.42	$534.41