Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,539.00 / $8,451.00	Facility		$882.00	$4,539.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $776.37 / $1,002.00	Professional		$584.89	$776.37	$1,002.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.90 / $544.90 / $595.76	Professional		$544.90	$544.90	$595.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $599.39 / $1,193.53	Professional		$577.59	$599.39	$1,193.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $699.18 / $699.18 / $901.62	Professional		$699.18	$699.18	$901.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,198.12 / $5,198.12 / $10,680.40	Facility		$5,198.12	$5,198.12	$10,680.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.95 / $722.95 / $722.95	Professional		$722.95	$722.95	$722.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,993.00 / $9,617.00	Facility		$1,013.00	$4,993.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $828.79 / $2,660.00	Professional		$638.41	$828.79	$2,660.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $938.00 / $938.00 / $938.00	Professional		$938.00	$938.00	$938.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $640.36 / $640.36 / $765.35	Facility		$640.36	$640.36	$765.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $628.65 / $640.36 / $777.60	Professional		$628.65	$640.36	$777.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,502.00 / $8,243.00	Facility		$1,440.00	$3,502.00	$8,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $786.38 / $1,293.83	Professional		$622.54	$786.38	$1,293.83