Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.99 / $1,569.00 / $7,175.00	Facility		$379.99	$1,569.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $277.82 / $415.24	Professional		$79.20	$277.82	$415.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.05 / $323.58 / $551.17	Professional		$275.05	$323.58	$551.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.41 / $371.79 / $1,113.00	Facility		$185.41	$371.79	$1,113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $201.47 / $554.12	Professional		$91.23	$201.47	$554.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $194.94 / $194.94	Facility		$194.94	$194.94	$194.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $510.19 / $646.91	Professional		$383.96	$510.19	$646.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.14 / $1,090.14 / $1,090.14	Facility		$1,090.14	$1,090.14	$1,090.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,070.00 / $7,799.00	Facility		$490.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $325.55 / $666.00	Professional		$83.08	$325.55	$666.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $760.60 / $966.60	Professional		$4.00	$760.60	$966.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $491.00 / $1,404.00	Facility		$148.19	$491.00	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $213.01 / $538.21	Professional		$91.35	$213.01	$538.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $93.78 / $352.03	Facility		$84.84	$93.78	$352.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $319.58 / $352.78	Professional		$84.84	$319.58	$352.78
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $380.64 / $642.80	Professional		$267.83	$380.64	$642.80