Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.12 / $943.12 / $3,649.87	Facility		$943.12	$943.12	$3,649.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.47 / $998.60 / $1,331.47	Professional		$826.47	$998.60	$1,331.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Professional		$1,795.12	$1,795.12	$1,795.12
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 $1,608.12 / $2,111.91 / $2,111.91	Professional		$1,608.12	$2,111.91	$2,111.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,111.91	Facility		$1,207.83	$1,207.83	$2,111.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,849.26	Professional		$881.72	$881.72	$1,849.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.96 / $2,111.91 / $4,012.63	Professional		$1,942.96	$2,111.91	$4,012.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.06 / $1,478.34 / $1,689.53	Professional		$1,426.06	$1,478.34	$1,689.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $943.12 / $943.12 / $3,649.87	Facility		$943.12	$943.12	$3,649.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $826.47 / $998.60 / $1,649.93	Professional		$826.47	$998.60	$1,649.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.40 / $2,880.30 / $4,160.80	Professional		$1,430.40	$2,880.30	$4,160.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,111.91	Facility		$1,207.83	$1,207.83	$2,111.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $2,508.38	Professional		$881.72	$881.72	$2,508.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,010.15 / $2,010.15 / $2,042.02	Facility		$2,010.15	$2,010.15	$2,042.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,010.15 / $2,042.02 / $2,050.35	Professional		$2,010.15	$2,042.02	$2,050.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $964.33 / $1,267.15 / $1,756.01	Professional		$964.33	$1,267.15	$1,756.01