Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $271.93 / $271.93	Facility		$271.93	$271.93	$271.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $318.39 / $893.95	Professional		$264.95	$318.39	$893.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $3,262.56 / $3,262.56	Professional		$352.81	$3,262.56	$3,262.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $341.98 / $406.07 / $633.87	Professional		$341.98	$406.07	$633.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $404.20 / $654.16	Professional		$316.62	$404.20	$654.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $728.93 / $728.93 / $728.93	Facility		$728.93	$728.93	$728.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $499.96 / $908.36	Professional		$380.55	$499.96	$908.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $483.92 / $3,203.20	Professional		$320.01	$483.92	$3,203.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $271.93 / $271.93	Facility		$271.93	$271.93	$271.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $431.86 / $916.32	Professional		$271.93	$431.86	$916.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $863.10 / $863.10 / $863.10	Facility		$863.10	$863.10	$863.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $509.74 / $718.40 / $993.30	Professional		$509.74	$718.40	$993.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $404.20 / $654.16	Professional		$316.62	$404.20	$654.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.97 / $332.59 / $344.50	Professional		$322.97	$332.59	$344.50
United Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $392.10 / $612.61	Professional		$313.92	$392.10	$612.61