Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.36 / $2,240.00 / $7,629.00	Facility		$196.36	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $146.50 / $233.90	Professional		$95.81	$146.50	$233.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $169.54 / $169.54	Professional		$169.54	$169.54	$169.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $176.21 / $296.64	Professional		$169.80	$176.21	$296.64
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $254.70 / $264.31 / $444.93	Professional	50	$254.70	$264.31	$444.93
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 $95.81 / $151.34 / $256.31	Professional		$95.81	$151.34	$256.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $210.02 / $270.83	Professional		$210.02	$210.02	$270.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.30 / $215.30	Professional		$215.00	$215.30	$215.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $161.16 / $585.90	Professional		$103.70	$161.16	$585.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $136.50 / $136.50	Professional		$136.50	$136.50	$136.50
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 $99.03 / $151.34 / $238.76	Professional		$99.03	$151.34	$238.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $106.56 / $170.11	Facility		$96.03	$106.56	$170.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $125.47 / $183.38	Professional		$104.60	$125.47	$183.38
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $185.98 / $316.62	Professional		$130.88	$185.98	$316.62