Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.07 / $691.95 / $1,566.70	Facility		$228.07	$691.95	$1,566.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $321.26 / $638.40	Professional		$162.33	$321.26	$638.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.13 / $329.80 / $486.80	Professional		$309.13	$329.80	$486.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $105.53 / $8,459.92	Facility		$89.70	$105.53	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $105.53 / $105.53	Professional		$105.53	$105.53	$105.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.09 / $537.09 / $537.09	Facility		$537.09	$537.09	$537.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.32 / $776.76 / $2,012.78	Professional		$648.32	$776.76	$2,012.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $527.66 / $527.66	Professional		$448.52	$527.66	$527.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.32 / $1,084.39 / $1,726.11	Facility		$84.32	$1,084.39	$1,726.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $229.26 / $252.19	Professional		$221.20	$229.26	$252.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.61 / $750.93 / $1,636.63	Facility		$206.61	$750.93	$1,636.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $321.26 / $734.05	Professional		$162.33	$321.26	$734.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,239.89 / $2,318.23 / $3,081.35	Facility		$2,239.89	$2,318.23	$3,081.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.13 / $901.46 / $1,236.66	Professional		$607.13	$901.46	$1,236.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $537.09 / $537.09 / $537.09	Facility		$537.09	$537.09	$537.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $648.32 / $776.76 / $2,012.78	Professional		$648.32	$776.76	$2,012.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $359.05 / $359.05 / $394.96	Facility		$359.05	$359.05	$394.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $394.96	Professional		$359.05	$359.05	$394.96
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $468.56	Professional		$359.05	$359.05	$468.56