Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.19 / $1,589.59 / $2,839.97	Facility		$577.19	$1,589.59	$2,839.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $782.37 / $1,139.97	Professional		$479.76	$782.37	$1,139.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Professional		$407.43	$407.43	$407.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,217.24 / $4,287.14 / $8,459.92	Facility		$3,217.24	$4,287.14	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,017.08 / $1,017.08 / $1,017.08	Professional		$1,017.08	$1,017.08	$1,017.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $1,097.08 / $2,253.62	Facility		$474.50	$1,097.08	$2,253.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.25 / $766.66 / $1,872.96	Professional		$405.25	$766.66	$1,872.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $1,200.00 / $2,203.67	Professional		$312.36	$1,200.00	$2,203.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,227.41 / $1,614.35 / $4,461.95	Facility		$1,227.41	$1,614.35	$4,461.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.37 / $912.77 / $912.77	Professional		$782.37	$912.77	$912.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $699.42 / $1,925.11 / $2,839.97	Facility		$699.42	$1,925.11	$2,839.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $493.68 / $831.33 / $2,343.13	Professional		$493.68	$831.33	$2,343.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.85 / $1,955.92 / $2,607.90	Professional		$1,929.85	$1,955.92	$2,607.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $788.27 / $1,271.35 / $2,253.62	Facility		$788.27	$1,271.35	$2,253.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $784.77 / $1,872.96	Professional		$642.66	$784.77	$1,872.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $679.05 / $709.78	Facility		$679.05	$679.05	$709.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $679.05 / $709.78	Professional		$679.05	$679.05	$709.78
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $434.59 / $1,363.60	Professional		$285.20	$434.59	$1,363.60