Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.65 / $3,623.00 / $7,629.00	Facility		$847.65	$3,623.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $734.06 / $1,060.58	Professional		$584.29	$734.06	$1,060.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.76 / $763.76 / $763.76	Professional		$763.76	$763.76	$763.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $755.35 / $783.85 / $1,375.90	Professional		$755.35	$783.85	$1,375.90
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,133.02 / $1,175.77 / $2,063.86	Professional	50	$1,133.02	$1,175.77	$2,063.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.04 / $748.22 / $1,192.53	Professional		$527.04	$748.22	$1,192.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $916.35 / $916.35 / $1,181.65	Professional		$916.35	$916.35	$1,181.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,524.80 / $7,867.83 / $13,091.44	Facility		$3,524.80	$7,867.83	$13,091.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.91 / $785.12 / $1,003.99	Professional		$737.91	$785.12	$1,003.99
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Professional	50	$1,195.20	$1,195.20	$1,195.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $604.35 / $759.19 / $2,517.52	Professional		$604.35	$759.19	$2,517.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $682.00 / $682.00	Professional		$682.00	$682.00	$682.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $543.88 / $758.74 / $1,192.53	Professional		$543.88	$758.74	$1,192.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $525.39 / $627.05 / $749.10	Facility		$525.39	$627.05	$749.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $611.14 / $663.56 / $797.90	Professional		$611.14	$663.56	$797.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,815.00	Facility		$1,175.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.52 / $872.00 / $1,393.67	Professional		$631.52	$872.00	$1,393.67