Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.30 / $2,240.00 / $7,629.00	Facility		$176.30	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $153.38 / $258.27	Professional		$117.37	$153.38	$258.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Professional		$158.24	$158.24	$158.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $165.91 / $291.49	Professional		$159.88	$165.91	$291.49
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 $115.10 / $158.84 / $272.05	Professional		$115.10	$158.84	$272.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $250.17	Professional		$194.00	$194.00	$250.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $197.49 / $200.23	Professional		$157.83	$197.49	$200.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $8,017.00	Facility		$594.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $158.44 / $523.61	Professional		$126.29	$158.44	$523.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $299.80 / $319.70	Professional		$198.56	$299.80	$319.70
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 $115.10 / $158.65 / $255.98	Professional		$115.10	$158.65	$255.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.17 / $157.84 / $359.00	Facility		$127.17	$157.84	$359.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $156.76 / $359.00	Professional		$126.79	$156.76	$359.00
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 $138.02 / $184.73 / $337.25	Professional		$138.02	$184.73	$337.25