Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $2,070.00 / $7,197.00	Facility		$268.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $120.76 / $189.09	Professional		$88.40	$120.76	$189.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Professional		$120.68	$120.68	$120.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $121.72 / $215.39	Professional		$117.29	$121.72	$215.39
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $175.93 / $182.57 / $323.12	Professional	50	$175.93	$182.57	$323.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $126.47 / $211.97	Professional		$84.87	$126.47	$211.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $141.62 / $182.63	Professional		$141.62	$141.62	$182.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,367.20 / $9,590.00 / $12,798.36	Facility		$5,367.20	$9,590.00	$12,798.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $136.19 / $163.16	Professional		$106.44	$136.19	$163.16
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $225.41 / $225.41 / $225.41	Professional	50	$225.41	$225.41	$225.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,266.00 / $8,017.00	Facility		$540.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $130.55 / $381.73	Professional		$90.54	$130.55	$381.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $184.20 / $184.20	Professional		$170.02	$184.20	$184.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $123.77 / $208.52	Professional		$81.08	$123.77	$208.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $115.29 / $157.43	Facility		$85.88	$115.29	$157.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $114.58 / $157.43	Professional		$85.84	$114.58	$157.43
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $136.47 / $225.26	Professional		$112.30	$136.47	$225.26