Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.57 / $424.74 / $1,359.00	Facility		$385.57	$424.74	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $398.12 / $477.49	Professional		$360.04	$398.12	$477.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $732.38 / $732.38 / $732.38	Professional		$732.38	$732.38	$732.38
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 $405.43 / $420.73 / $691.09	Professional		$405.43	$420.73	$691.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $646.26 / $646.26	Facility		$646.26	$646.26	$646.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $518.17 / $883.84	Professional		$382.48	$518.17	$883.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $591.54 / $804.61	Professional		$407.43	$591.54	$804.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.63 / $486.33 / $497.64	Professional		$484.63	$486.33	$497.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $424.74 / $432.90 / $1,812.00	Facility		$424.74	$432.90	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $364.23 / $414.85 / $629.75	Professional		$364.23	$414.85	$629.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.61 / $520.90 / $787.02	Professional		$382.61	$520.90	$787.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $646.26 / $646.26	Facility		$646.26	$646.26	$646.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $518.61 / $925.19	Professional		$382.48	$518.61	$925.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $388.49 / $395.45 / $459.51	Facility		$388.49	$395.45	$459.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $385.06 / $395.82 / $450.96	Professional		$385.06	$395.82	$450.96
United Facility/Professional Professional Modifier Low / Median / High Price $372.05 / $471.79 / $780.38	Professional		$372.05	$471.79	$780.38