Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $3,055.87 / $3,128.57	Facility		$450.64	$3,055.87	$3,128.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $498.58 / $696.84	Professional		$394.00	$498.58	$696.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $930.73 / $930.73	Professional		$567.73	$930.73	$930.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $833.78 / $1,094.98 / $1,094.98	Professional		$833.78	$1,094.98	$1,094.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,157.34	Facility		$632.51	$632.51	$1,157.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $1,013.41	Professional		$461.73	$461.73	$1,013.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.76 / $1,157.34 / $2,198.96	Professional		$1,064.76	$1,157.34	$2,198.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.52 / $674.52 / $5,060.78	Facility		$674.52	$674.52	$5,060.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.49 / $875.99 / $930.74	Professional		$766.49	$875.99	$930.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,743.98 / $3,055.87 / $3,128.57	Facility		$1,743.98	$3,055.87	$3,128.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $517.75 / $875.98	Professional		$448.15	$517.75	$875.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.40 / $1,435.00 / $1,874.80	Professional		$465.40	$1,435.00	$1,874.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,157.34	Facility		$632.51	$632.51	$1,157.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $1,170.00	Professional		$461.73	$461.73	$1,170.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $757.18 / $1,042.22 / $1,042.22	Facility		$757.18	$1,042.22	$1,042.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.18 / $1,042.22 / $1,101.58	Professional		$757.18	$1,042.22	$1,101.58
United Facility/Professional Professional Modifier Low / Median / High Price $385.03 / $546.27 / $910.45	Professional		$385.03	$546.27	$910.45