Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,504.13 / $6,012.00	Facility		$428.00	$2,504.13	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $138.75 / $240.92	Professional		$85.00	$138.75	$240.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $217.78	Professional		$47.10	$47.10	$217.78
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 $173.42 / $179.96 / $306.64	Professional		$173.42	$179.96	$306.64
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 $85.11 / $153.82 / $250.80	Professional		$85.11	$153.82	$250.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $277.25	Professional		$215.00	$215.00	$277.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $992.68 / $1,675.65	Facility		$0.50	$992.68	$1,675.65
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,685.20 / $1,685.20 / $1,685.20	Facility	50	$1,685.20	$1,685.20	$1,685.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $108.65 / $1,612.00	Professional		$80.48	$108.65	$1,612.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,380.79 / $7,197.00	Facility		$594.00	$2,380.79	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $157.25 / $603.23	Professional		$91.10	$157.25	$603.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $372.10 / $372.10	Professional		$372.10	$372.10	$372.10
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 $86.14 / $148.69 / $236.80	Professional		$86.14	$148.69	$236.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $126.33 / $454.00	Facility		$91.48	$126.33	$454.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $172.84 / $454.00	Professional		$91.17	$172.84	$454.00
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 $154.09 / $203.23 / $357.02	Professional		$154.09	$203.23	$357.02