Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.84 / $621.84 / $2,125.00	Facility		$621.84	$621.84	$2,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $726.82 / $1,997.00	Professional		$601.90	$726.82	$1,997.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,187.06 / $1,187.06 / $1,187.06	Professional		$1,187.06	$1,187.06	$1,187.06
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $794.44 / $1,446.03	Professional		$765.55	$794.44	$1,446.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $953.37 / $1,533.44	Professional		$722.22	$953.37	$1,533.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,662.21 / $1,662.21 / $1,662.21	Facility		$1,662.21	$1,662.21	$1,662.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $867.59 / $1,139.63 / $2,070.53	Professional		$867.59	$1,139.63	$2,070.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.20 / $1,705.41 / $7,499.05	Professional		$963.20	$1,705.41	$7,499.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $621.84 / $621.84 / $2,125.00	Facility		$621.84	$621.84	$2,125.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $621.84 / $1,030.36 / $2,125.00	Professional		$621.84	$1,030.36	$2,125.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,230.08 / $1,762.40	Professional		$870.00	$1,230.08	$1,762.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $951.14 / $1,533.44	Professional		$722.22	$951.14	$1,533.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $737.18 / $759.26 / $790.56	Professional		$737.18	$759.26	$790.56
United Facility/Professional Professional Modifier Low / Median / High Price $685.05 / $881.11 / $1,475.68	Professional		$685.05	$881.11	$1,475.68