Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.10 / $263.25 / $1,359.00	Facility		$239.10	$263.25	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $247.80 / $345.08	Professional		$225.36	$247.80	$345.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $267.32 / $267.32	Professional		$241.65	$267.32	$267.32
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 $251.07 / $260.55 / $428.18	Professional		$251.07	$260.55	$428.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $400.86	Facility		$400.86	$400.86	$400.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $321.37 / $548.54	Professional		$236.86	$321.37	$548.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $366.23 / $498.31	Professional		$252.45	$366.23	$498.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.23 / $306.30 / $467.86	Professional		$274.23	$306.30	$467.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.25 / $268.44 / $1,812.00	Facility		$263.25	$268.44	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $271.27 / $444.59	Professional		$231.65	$271.27	$444.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $321.89 / $488.42	Professional		$237.44	$321.89	$488.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $400.86	Facility		$400.86	$400.86	$400.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $321.89 / $574.26	Professional		$236.86	$321.89	$574.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $241.45 / $245.88 / $284.74	Facility		$241.45	$245.88	$284.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $246.15 / $279.89	Professional		$239.37	$246.15	$279.89
United Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $286.60 / $484.75	Professional		$235.62	$286.60	$484.75