Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.71 / $771.71 / $2,986.52	Facility		$771.71	$771.71	$2,986.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.71 / $896.00 / $996.99	Professional		$771.71	$896.00	$996.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,593.87 / $1,593.87 / $1,593.87	Professional		$1,593.87	$1,593.87	$1,593.87
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 $1,427.83 / $1,875.14 / $1,875.14	Professional		$1,427.83	$1,875.14	$1,875.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,118.12	Facility		$1,037.25	$1,037.25	$2,118.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,854.70	Professional		$757.19	$757.19	$1,854.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.67 / $2,118.12 / $4,024.43	Professional		$1,948.67	$2,118.12	$4,024.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.60 / $1,406.36 / $1,500.12	Professional		$1,312.60	$1,406.36	$1,500.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $771.71 / $771.71 / $2,986.52	Facility		$771.71	$771.71	$2,986.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $771.71 / $903.07 / $1,335.38	Professional		$771.71	$903.07	$1,335.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.20 / $2,757.50 / $4,173.10	Professional		$1,089.20	$2,757.50	$4,173.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,118.12	Facility		$1,037.25	$1,037.25	$2,118.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $2,059.13	Professional		$757.19	$757.19	$2,059.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,340.65 / $1,784.79 / $1,784.79	Facility		$1,340.65	$1,784.79	$1,784.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,340.65 / $1,784.79 / $2,016.06	Professional		$1,340.65	$1,784.79	$2,016.06
United Facility/Professional Professional Modifier Low / Median / High Price $690.12 / $957.11 / $1,638.34	Professional		$690.12	$957.11	$1,638.34