Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.51 / $552.51 / $2,138.21	Facility		$552.51	$552.51	$2,138.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.98 / $646.55 / $869.27	Professional		$516.98	$646.55	$869.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,006.89 / $1,006.89 / $1,006.89	Professional		$1,006.89	$1,006.89	$1,006.89
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 $1,022.26 / $1,342.52 / $1,342.52	Professional		$1,022.26	$1,342.52	$1,342.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,518.60	Facility		$829.42	$840.60	$1,518.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $1,329.74	Professional		$613.64	$613.64	$1,329.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.11 / $1,518.60 / $2,885.34	Professional		$1,397.11	$1,518.60	$2,885.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $1,048.83 / $1,074.02	Professional		$906.54	$1,048.83	$1,074.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $552.51 / $552.51 / $2,138.21	Facility		$552.51	$552.51	$2,138.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $516.98 / $658.85 / $1,099.15	Professional		$516.98	$658.85	$1,099.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.79 / $1,882.90 / $2,460.00	Professional		$583.79	$1,882.90	$2,460.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,518.60	Facility		$829.42	$840.60	$1,518.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $1,634.25	Professional		$613.64	$613.64	$1,634.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $859.16 / $1,277.83 / $1,277.83	Facility		$859.16	$1,277.83	$1,277.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $859.16 / $1,277.83 / $1,445.43	Professional		$859.16	$1,277.83	$1,445.43
United Facility/Professional Professional Modifier Low / Median / High Price $519.66 / $676.47 / $1,116.29	Professional		$519.66	$676.47	$1,116.29