Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $1,717.91 / $3,975.93	Facility		$741.00	$1,717.91	$3,975.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $741.00 / $1,063.82	Professional		$733.66	$741.00	$1,063.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $679.51 / $795.96 / $8,459.92	Facility		$679.51	$795.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $761.35 / $761.35 / $761.35	Professional		$761.35	$761.35	$761.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $733.67 / $733.67	Facility		$692.14	$733.67	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $761.35	Professional		$733.67	$733.67	$761.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.35 / $1,348.74 / $1,348.74	Professional		$761.35	$1,348.74	$1,348.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.77 / $1,881.45 / $2,551.40	Facility		$1,079.77	$1,881.45	$2,551.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $763.90 / $763.90	Professional		$763.90	$763.90	$763.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $741.49 / $1,600.45 / $3,785.73	Facility		$741.49	$1,600.45	$3,785.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $741.49 / $1,319.41	Professional		$733.66	$741.49	$1,319.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $346.10 / $1,222.09	Professional		$285.39	$346.10	$1,222.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $733.67 / $733.67	Facility		$692.14	$733.67	$733.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $761.57	Professional		$733.67	$733.67	$761.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $567.92 / $567.92 / $659.01	Facility		$567.92	$567.92	$659.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $567.92 / $567.92 / $659.01	Professional		$567.92	$567.92	$659.01
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $1,098.84	Professional		$733.67	$777.69	$1,098.84