Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.64 / $314.64 / $396.94	Facility		$277.64	$314.64	$396.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.95 / $314.64 / $396.94	Professional		$252.95	$314.64	$396.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.84 / $385.84 / $427.40	Professional		$385.84	$385.84	$427.40
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 $424.45 / $440.46 / $693.88	Professional		$424.45	$440.46	$693.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $835.82 / $835.82 / $835.82	Facility		$835.82	$835.82	$835.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.23 / $622.58 / $867.74	Professional		$484.23	$622.58	$867.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $457.93 / $485.40	Professional		$72.09	$457.93	$485.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $277.64 / $314.64 / $370.18	Facility		$277.64	$314.64	$370.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $320.82 / $423.27	Professional		$256.02	$320.82	$423.27
Optum Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $368.47 / $368.47	Professional		$368.47	$368.47	$368.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $682.20 / $849.00	Professional		$368.47	$682.20	$849.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $298.64 / $344.17 / $397.25	Facility		$298.64	$344.17	$397.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $336.11 / $358.15	Professional		$298.64	$336.11	$358.15
United Facility/Professional Professional Modifier Low / Median / High Price $316.50 / $397.25 / $707.52	Professional		$316.50	$397.25	$707.52