Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.14 / $393.14 / $1,532.85	Facility		$393.14	$393.14	$1,532.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.08 / $393.14 / $500.00	Professional		$347.08	$393.14	$500.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $387.28 / $401.16	Professional		$225.00	$387.28	$401.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $500.00	Professional		$425.00	$500.00	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $270.30 / $468.71	Facility		$120.00	$270.30	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.41 / $487.58 / $808.64	Professional		$376.41	$487.58	$808.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.65 / $1,002.65 / $1,002.65	Facility		$1,002.65	$1,002.65	$1,002.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.71 / $644.55 / $1,150.65	Professional		$429.71	$644.55	$1,150.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $433.35 / $433.35	Professional		$406.65	$433.35	$433.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,532.85 / $1,532.85 / $1,532.85	Facility		$1,532.85	$1,532.85	$1,532.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $347.08 / $401.42 / $589.71	Professional		$347.08	$401.42	$589.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $408.50 / $408.50 / $408.50	Facility		$408.50	$408.50	$408.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.50 / $408.50 / $475.00	Professional		$408.50	$408.50	$475.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $270.30 / $468.71	Facility		$120.00	$270.30	$468.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $372.88 / $484.10 / $808.64	Professional		$372.88	$484.10	$808.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Facility		$168.87	$168.87	$168.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $553.38	Professional		$500.00	$500.00	$553.38
United Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $400.34 / $690.99	Professional		$317.36	$400.34	$690.99