Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.32 / $718.32 / $1,187.00	Facility		$718.32	$718.32	$1,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.21 / $866.30 / $2,215.60	Professional		$700.21	$866.30	$2,215.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,357.86 / $1,668.44 / $1,668.44	Professional		$1,357.86	$1,668.44	$1,668.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $884.27 / $917.64 / $1,670.59	Professional		$884.27	$917.64	$1,670.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.22 / $1,087.28 / $1,731.39	Professional		$834.22	$1,087.28	$1,731.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,919.84 / $1,919.84 / $1,919.84	Facility		$1,919.84	$1,919.84	$1,919.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.94 / $1,316.01 / $2,390.96	Professional		$1,001.94	$1,316.01	$2,390.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.50 / $1,284.13 / $4,375.14	Professional		$1,074.50	$1,284.13	$4,375.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $718.32 / $718.32 / $1,187.00	Facility		$718.32	$718.32	$1,187.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $718.32 / $1,182.07 / $2,215.60	Professional		$718.32	$1,182.07	$2,215.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $863.10 / $863.10 / $863.10	Facility		$863.10	$863.10	$863.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $863.10 / $1,414.73 / $2,021.14	Professional		$863.10	$1,414.73	$2,021.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $834.22 / $1,084.48 / $1,723.41	Professional		$834.22	$1,084.48	$1,723.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.66 / $877.60 / $914.14	Professional		$851.66	$877.60	$914.14
United Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $1,051.44 / $1,580.56	Professional		$813.86	$1,051.44	$1,580.56