Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.88 / $249.88 / $967.04	Facility		$249.88	$249.88	$967.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $332.40 / $471.75	Professional		$249.88	$332.40	$471.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.92 / $501.92 / $518.85	Professional		$501.92	$501.92	$518.85
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 $437.47 / $490.62 / $490.62	Professional		$437.47	$490.62	$490.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $490.62	Facility		$465.67	$465.67	$490.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $566.63	Professional		$339.94	$339.94	$566.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $490.62 / $932.18	Professional		$451.37	$490.62	$932.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,257.15 / $2,257.15 / $2,257.15	Facility		$2,257.15	$2,257.15	$2,257.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $440.73 / $577.08	Professional		$343.43	$440.73	$577.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $249.88 / $249.88 / $967.04	Facility		$249.88	$249.88	$967.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $323.79 / $493.19	Professional		$249.87	$323.79	$493.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $428.90 / $1,253.59	Professional		$362.80	$428.90	$1,253.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $490.62	Facility		$465.67	$465.67	$490.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $578.07	Professional		$339.94	$339.94	$578.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $546.84 / $546.84 / $579.96	Facility		$546.84	$546.84	$579.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $546.84 / $546.84 / $579.96	Professional		$546.84	$546.84	$579.96
United Facility/Professional Professional Modifier Low / Median / High Price $294.37 / $406.46 / $727.46	Professional		$294.37	$406.46	$727.46