Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.42 / $754.31 / $1,793.00	Facility		$373.42	$754.31	$1,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.13 / $415.42 / $1,993.98	Professional		$367.13	$415.42	$1,993.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $470.29 / $715.77	Professional		$334.19	$470.29	$715.77
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 $429.16 / $445.36 / $772.57	Professional		$429.16	$445.36	$772.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.25 / $483.67 / $1,525.59	Facility		$393.25	$483.67	$1,525.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.14 / $495.58 / $796.60	Professional		$344.14	$495.58	$796.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $434.31 / $545.42 / $649.72	Professional		$434.31	$545.42	$649.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $507.03 / $773.63	Professional		$460.93	$507.03	$773.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $415.42 / $1,101.39 / $1,793.00	Facility		$415.42	$1,101.39	$1,793.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $373.42 / $555.33 / $1,823.36	Professional		$373.42	$555.33	$1,823.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $658.12 / $877.50	Professional		$549.29	$658.12	$877.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $393.25 / $464.03 / $1,525.59	Facility		$393.25	$464.03	$1,525.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $501.05 / $825.96	Professional		$361.64	$501.05	$825.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $417.07 / $417.07 / $451.02	Facility		$417.07	$417.07	$451.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $406.23 / $417.33 / $451.02	Professional		$406.23	$417.33	$451.02
United Facility/Professional Professional Modifier Low / Median / High Price $382.35 / $494.12 / $812.21	Professional		$382.35	$494.12	$812.21