Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.55 / $2,747.00 / $8,017.00	Facility		$705.55	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $567.90 / $835.90	Professional		$414.89	$567.90	$835.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $483.63 / $483.63 / $483.63	Professional		$483.63	$483.63	$483.63
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 $616.98 / $640.27 / $1,138.33	Professional		$616.98	$640.27	$1,138.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.81 / $597.38 / $934.96	Professional		$397.81	$597.38	$934.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.25 / $756.25 / $975.20	Professional		$756.25	$756.25	$975.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.00 / $833.00 / $833.00	Professional		$833.00	$833.00	$833.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,120.00 / $8,017.00	Facility		$918.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $419.52 / $619.62 / $2,467.00	Professional		$419.52	$619.62	$2,467.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.50 / $563.50 / $861.45	Professional		$563.50	$563.50	$861.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $606.07 / $935.74	Professional		$417.92	$606.07	$935.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $456.17 / $474.63 / $616.47	Facility		$456.17	$474.63	$616.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $517.59 / $660.70	Professional		$453.12	$517.59	$660.70
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 $514.55 / $707.52 / $1,113.75	Professional		$514.55	$707.52	$1,113.75