Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.69 / $643.69 / $2,491.08	Facility		$643.69	$643.69	$2,491.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.07 / $681.55 / $960.93	Professional		$564.07	$681.55	$960.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,225.18 / $1,225.18 / $1,225.18	Professional		$1,225.18	$1,225.18	$1,225.18
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 $1,097.55 / $1,441.39 / $1,441.39	Professional		$1,097.55	$1,441.39	$1,441.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,441.39	Facility		$1,200.11	$1,200.11	$1,441.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,407.32	Professional		$876.09	$876.09	$1,407.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.08 / $1,441.39 / $2,738.64	Professional		$1,326.08	$1,441.39	$2,738.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.97 / $1,008.97 / $1,153.11	Professional		$1,008.97	$1,008.97	$1,153.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $643.69 / $643.69 / $2,491.08	Facility		$643.69	$643.69	$2,491.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $564.07 / $706.78 / $1,126.08	Professional		$564.07	$706.78	$1,126.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $976.30 / $1,965.90 / $2,839.80	Professional		$976.30	$1,965.90	$2,839.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,441.39	Facility		$1,200.11	$1,200.11	$1,441.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,990.13	Professional		$876.09	$876.09	$1,990.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $688.77 / $688.77 / $1,371.94	Facility		$688.77	$688.77	$1,371.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $688.77 / $1,371.94 / $1,399.38	Professional		$688.77	$1,371.94	$1,399.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.88 / $812.41 / $1,259.36	Professional		$676.88	$812.41	$1,259.36