Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.18 / $330.18 / $1,277.80	Facility		$330.18	$330.18	$1,277.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.18 / $420.37 / $677.14	Professional		$330.18	$420.37	$677.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $663.80 / $663.80 / $663.80	Professional		$663.80	$663.80	$663.80
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 $578.10 / $647.58 / $647.58	Professional		$578.10	$647.58	$647.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $748.13	Professional		$464.99	$464.99	$748.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.77 / $647.58 / $1,230.40	Professional		$595.77	$647.58	$1,230.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.07 / $663.85 / $712.50	Professional		$518.07	$663.85	$712.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $330.18 / $330.18 / $1,277.80	Facility		$330.18	$330.18	$1,277.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $330.18 / $420.80 / $677.15	Professional		$330.18	$420.80	$677.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.40 / $420.40 / $1,580.70	Professional		$420.40	$420.40	$1,580.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $809.05	Professional		$464.99	$464.99	$809.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $722.62 / $722.62 / $924.80	Facility		$722.62	$722.62	$924.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $722.62 / $722.62 / $924.80	Professional		$722.62	$722.62	$924.80
United Facility/Professional Professional Modifier Low / Median / High Price $384.75 / $534.53 / $885.07	Professional		$384.75	$534.53	$885.07