Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.56 / $2,747.00 / $8,017.00	Facility		$475.56	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.57 / $426.41 / $585.76	Professional		$366.57	$426.41	$585.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $198.23 / $198.23	Professional		$198.23	$198.23	$198.23
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 $428.26 / $444.42 / $785.86	Professional		$428.26	$444.42	$785.86
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 $323.20 / $424.22 / $692.92	Professional		$323.20	$424.22	$692.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $518.78 / $668.98	Professional		$518.78	$518.78	$668.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.59 / $477.59 / $477.59	Professional		$477.59	$477.59	$477.59
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 $374.53 / $466.96 / $2,335.67	Professional		$374.53	$466.96	$2,335.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $483.40 / $483.40 / $483.40	Professional		$483.40	$483.40	$483.40
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 $324.05 / $441.96 / $689.00	Professional		$324.05	$441.96	$689.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $374.92 / $411.91 / $455.35	Facility		$374.92	$411.91	$455.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $372.68 / $414.36 / $455.35	Professional		$372.68	$414.36	$455.35
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 $350.93 / $472.21 / $765.36	Professional		$350.93	$472.21	$765.36