Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $351.68 / $446.39	Facility		$310.31	$351.68	$446.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $343.20 / $446.39	Professional		$245.47	$343.20	$446.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $473.08 / $473.08	Professional		$428.61	$473.08	$473.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $467.45 / $485.09 / $775.23	Professional		$467.45	$485.09	$775.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $889.77 / $889.77 / $889.77	Facility		$889.77	$889.77	$889.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.54 / $691.13 / $956.84	Professional		$537.54	$691.13	$956.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $95.48 / $525.48	Professional		$70.92	$95.48	$525.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $351.68 / $413.74	Facility		$310.31	$351.68	$413.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $351.68 / $457.60	Professional		$244.44	$351.68	$457.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $413.23 / $413.23	Professional		$413.23	$413.23	$413.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $789.10 / $984.80	Professional		$413.23	$789.10	$984.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.04 / $377.84 / $443.82	Facility		$282.04	$377.84	$443.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.04 / $370.05 / $394.62	Professional		$282.04	$370.05	$394.62
United Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $454.47 / $771.39	Professional		$351.25	$454.47	$771.39