Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.29 / $4,262.00 / $9,534.00	Facility		$737.29	$4,262.00	$9,534.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.05 / $384.05 / $552.97	Facility	54	$384.05	$384.05	$552.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $570.89 / $1,035.13	Professional		$411.75	$570.89	$1,035.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.44 / $486.34 / $796.42	Professional		$442.44	$486.34	$796.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $643.48 / $667.77 / $1,162.29	Professional		$643.48	$667.77	$1,162.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.44 / $594.02 / $935.90	Professional		$401.44	$594.02	$935.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $789.85 / $789.85 / $1,018.53	Professional		$789.85	$789.85	$1,018.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,107.59 / $4,818.31 / $5,696.33	Facility		$3,107.59	$4,818.31	$5,696.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $576.29 / $914.71	Professional		$544.79	$576.29	$914.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $10,247.00	Facility		$1,054.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $384.05 / $384.05 / $552.97	Facility	54	$384.05	$384.05	$552.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.35 / $626.07 / $1,562.91	Professional		$432.35	$626.07	$1,562.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $560.10 / $593.10 / $1,347.53	Professional		$560.10	$593.10	$1,347.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $596.40 / $906.69	Professional		$427.56	$596.40	$906.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $437.41 / $457.87 / $642.82	Facility		$437.41	$457.87	$642.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $560.94 / $689.56	Professional		$449.56	$560.94	$689.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.74 / $738.17 / $1,268.23	Professional		$532.74	$738.17	$1,268.23