Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.03 / $534.61 / $545.47	Facility		$411.03	$534.61	$545.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $575.11 / $1,530.08	Professional		$344.83	$575.11	$1,530.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $713.44 / $842.93 / $1,033.55	Professional		$713.44	$842.93	$1,033.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $586.27 / $586.27 / $670.69	Professional		$586.27	$586.27	$670.69
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 $558.44 / $747.99 / $899.02	Professional		$558.44	$747.99	$899.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $582.49 / $908.98	Professional		$412.16	$582.49	$908.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $900.00 / $911.26	Professional		$650.00	$900.00	$911.26
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $586.27 / $586.27 / $670.69	Professional		$586.27	$586.27	$670.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $411.03 / $534.61 / $546.17	Facility		$411.03	$534.61	$546.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $722.43 / $1,220.75	Professional		$357.00	$722.43	$1,220.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $1,000.00 / $1,423.00	Professional		$828.80	$1,000.00	$1,423.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $594.92 / $974.77	Professional		$412.16	$594.92	$974.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.87 / $426.17 / $548.85	Facility		$354.87	$426.17	$548.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $406.33 / $525.00 / $582.17	Professional		$406.33	$525.00	$582.17
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.93 / $588.62 / $946.43	Professional		$401.93	$588.62	$946.43