Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,430.21 / $8,247.00	Facility		$1,283.00	$4,430.21	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $890.75 / $1,454.31	Professional		$667.51	$890.75	$1,454.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,478.45 / $1,478.45 / $1,478.45	Professional		$1,478.45	$1,478.45	$1,478.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,800.00 / $11,479.00 / $17,952.00	Facility		$5,800.00	$11,479.00	$17,952.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $873.54 / $906.50 / $1,621.03	Professional		$873.54	$906.50	$1,621.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.48 / $945.56 / $1,613.69	Professional		$700.48	$945.56	$1,613.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $884.40 / $1,351.87	Professional		$528.00	$884.40	$1,351.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,707.89 / $7,670.36 / $18,035.82	Facility		$2,707.89	$7,670.36	$18,035.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.07 / $1,076.09 / $1,347.50	Professional		$1,008.07	$1,076.09	$1,347.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $5,100.00 / $8,404.00	Facility		$1,283.00	$5,100.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $959.53 / $2,252.67	Professional		$750.87	$959.53	$2,252.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,010.30 / $1,163.36	Professional		$1,010.30	$1,010.30	$1,163.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $723.64 / $947.70 / $1,627.31	Professional		$723.64	$947.70	$1,627.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $858.23 / $858.23 / $1,144.96	Facility		$858.23	$858.23	$1,144.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $840.94 / $858.23 / $1,144.96	Professional		$840.94	$858.23	$1,144.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,914.00 / $7,508.00	Facility		$1,843.00	$3,914.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.50 / $1,021.15 / $1,689.07	Professional		$761.50	$1,021.15	$1,689.07