Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.57 / $474.57 / $474.57	Facility		$474.57	$474.57	$474.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $474.57 / $584.37	Professional		$387.50	$474.57	$584.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $482.60 / $482.60	Professional		$482.60	$482.60	$482.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $515.88 / $819.79	Professional		$497.12	$515.88	$819.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $555.04 / $959.62	Professional		$445.47	$555.04	$959.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.19 / $1,084.19 / $1,084.19	Facility		$1,084.19	$1,084.19	$1,084.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.47 / $678.90 / $1,016.02	Professional		$525.47	$678.90	$1,016.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $424.62 / $490.27 / $907.75	Professional		$424.62	$490.27	$907.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.13 / $890.30 / $1,252.90	Professional		$545.13	$890.30	$1,252.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $555.04 / $958.84	Professional		$445.47	$555.04	$958.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $486.79 / $486.79 / $486.79	Facility		$486.79	$486.79	$486.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $425.32 / $486.86 / $506.53	Professional		$425.32	$486.86	$506.53
United Facility/Professional Professional Modifier Low / Median / High Price $388.54 / $479.96 / $782.80	Professional		$388.54	$479.96	$782.80