Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.41 / $568.46 / $2,318.75	Facility		$293.41	$568.46	$2,318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $355.61 / $1,040.46	Professional		$275.56	$355.61	$1,040.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.25 / $409.25 / $409.25	Professional		$409.25	$409.25	$409.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $354.56 / $417.13 / $8,459.92	Facility		$354.56	$417.13	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $417.13 / $417.13	Professional		$417.13	$417.13	$417.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.75 / $532.65 / $532.65	Professional		$452.75	$532.65	$532.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $284.23 / $568.46 / $8,734.21	Facility		$284.23	$568.46	$8,734.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $355.61 / $1,040.46	Professional		$275.56	$355.61	$1,040.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.89 / $963.36 / $1,321.37	Professional		$648.89	$963.36	$1,321.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $520.75 / $520.75 / $572.83	Facility		$520.75	$520.75	$572.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $572.83	Professional		$520.75	$520.75	$572.83
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $679.58	Professional		$520.75	$520.75	$679.58