Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.05 / $265.00 / $1,359.00	Facility		$241.05	$265.00	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $251.94 / $342.87	Professional		$228.03	$251.94	$342.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.77 / $352.77 / $352.77	Professional		$352.77	$352.77	$352.77
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 $254.06 / $263.64 / $437.25	Professional		$254.06	$263.64	$437.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $404.69 / $404.69	Facility		$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $327.20 / $558.23	Professional		$239.68	$327.20	$558.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.39 / $370.67 / $504.24	Professional		$255.39	$370.67	$504.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $304.36 / $413.27	Professional		$273.27	$304.36	$413.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $270.56 / $1,812.00	Facility		$265.00	$270.56	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $270.56 / $569.75	Professional		$232.97	$270.56	$569.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $323.16 / $492.92	Professional		$239.65	$323.16	$492.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $404.69 / $404.69	Facility		$404.69	$404.69	$404.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $327.37 / $575.66	Professional		$239.68	$327.37	$575.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $242.53 / $246.96 / $290.83	Facility		$242.53	$246.96	$290.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $247.13 / $284.88	Professional		$240.53	$247.13	$284.88
United Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $316.36 / $506.77	Professional		$235.31	$316.36	$506.77