Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.77 / $442.30 / $4,066.64	Facility		$399.77	$442.30	$4,066.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $494.39 / $870.12	Professional		$399.77	$494.39	$870.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $810.68 / $810.68 / $810.68	Professional		$810.68	$810.68	$810.68
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 $699.71 / $788.33 / $788.33	Professional		$699.71	$788.33	$788.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $1,021.13	Professional		$593.37	$593.37	$1,021.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.26 / $788.33 / $1,497.83	Professional		$725.26	$788.33	$1,497.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $621.49 / $864.73	Professional		$551.83	$621.49	$864.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $399.77 / $4,066.64 / $4,066.64	Facility		$399.77	$4,066.64	$4,066.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $296.82 / $494.38 / $909.67	Professional		$296.82	$494.38	$909.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.40 / $501.80 / $1,913.80	Professional		$494.40	$501.80	$1,913.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $1,021.13	Professional		$593.37	$593.37	$1,021.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $874.64 / $874.64 / $919.57	Facility		$874.64	$874.64	$919.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $874.64 / $874.64 / $926.80	Professional		$874.64	$874.64	$926.80
United Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $647.78 / $1,080.91	Professional		$494.39	$647.78	$1,080.91