Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $272.33 / $1,053.92	Facility		$272.33	$272.33	$1,053.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $301.30 / $430.19	Professional		$258.95	$301.30	$430.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $496.29 / $496.29 / $496.29	Professional		$496.29	$496.29	$496.29
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 $503.86 / $661.72 / $661.72	Professional		$503.86	$661.72	$661.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $661.72	Facility		$419.48	$419.48	$661.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $579.41	Professional		$306.22	$306.22	$579.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $608.78 / $661.72 / $1,257.27	Professional		$608.78	$661.72	$1,257.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,988.01 / $2,988.01 / $2,988.01	Facility		$2,988.01	$2,988.01	$2,988.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.97 / $523.17 / $529.38	Professional		$516.97	$523.17	$529.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $1,053.92 / $1,592.86	Facility		$272.33	$1,053.92	$1,592.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $258.94 / $318.68 / $927.07	Professional		$258.94	$318.68	$927.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $825.60 / $1,303.70	Professional		$307.70	$825.60	$1,303.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $661.72	Facility		$419.48	$419.48	$661.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $786.00	Professional		$306.22	$306.22	$786.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $473.09 / $629.83 / $629.83	Facility		$473.09	$629.83	$629.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.09 / $629.83 / $645.32	Professional		$473.09	$629.83	$645.32
United Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $331.52 / $596.74	Professional		$250.33	$331.52	$596.74