Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $777.75 / $1,965.00	Facility		$425.00	$777.75	$1,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.17 / $425.00 / $544.00	Professional		$360.17	$425.00	$544.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $247.68 / $247.68	Professional		$247.68	$247.68	$247.68
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 $380.65 / $395.01 / $855.69	Professional		$380.65	$395.01	$855.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $779.47 / $1,075.33	Facility		$436.71	$779.47	$1,075.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.03 / $544.67 / $896.89	Professional		$337.03	$544.67	$896.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $441.13 / $542.15 / $902.92	Professional		$441.13	$542.15	$902.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $765.63 / $1,093.76	Facility		$535.00	$765.63	$1,093.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $1,005.20 / $2,097.00	Facility		$363.52	$1,005.20	$2,097.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.52 / $450.00 / $1,037.00	Professional		$363.52	$450.00	$1,037.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.62 / $534.79 / $762.12	Professional		$269.62	$534.79	$762.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $740.67 / $1,075.33	Facility		$436.71	$740.67	$1,075.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $356.47 / $547.78 / $898.48	Professional		$356.47	$547.78	$898.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $359.16 / $359.16 / $504.20	Facility		$359.16	$359.16	$504.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.56 / $359.66 / $504.20	Professional		$354.56	$359.66	$504.20
United Facility/Professional Professional Modifier Low / Median / High Price $408.60 / $503.11 / $864.57	Professional		$408.60	$503.11	$864.57