Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $176.61 / $683.48	Facility		$176.61	$176.61	$683.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $206.67 / $291.95	Professional		$155.55	$206.67	$291.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.86 / $321.86 / $321.86	Professional		$321.86	$321.86	$321.86
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 $326.77 / $429.14 / $429.14	Professional		$326.77	$429.14	$429.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $456.91	Facility		$315.73	$315.73	$456.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $400.08	Professional		$230.48	$230.48	$400.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $456.91 / $868.13	Professional		$420.36	$456.91	$868.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $305.82 / $343.32	Professional		$289.77	$305.82	$343.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $176.61 / $683.48	Facility		$176.61	$176.61	$683.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $221.70 / $350.99	Professional		$138.47	$221.70	$350.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $623.20 / $900.20	Professional		$309.39	$623.20	$900.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $456.91	Facility		$315.73	$315.73	$456.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $630.00	Professional		$230.48	$230.48	$630.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $306.82 / $408.46 / $408.46	Facility		$306.82	$408.46	$408.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $408.46 / $517.39	Professional		$306.82	$408.46	$517.39
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $214.10 / $386.24	Professional		$176.50	$214.10	$386.24