Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.88 / $477.82 / $1,252.89	Facility		$431.88	$477.82	$1,252.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $496.20 / $663.38	Professional		$410.67	$496.20	$663.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $787.05 / $787.05 / $787.05	Professional		$787.05	$787.05	$787.05
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 $799.06 / $1,049.40 / $1,049.40	Professional		$799.06	$1,049.40	$1,049.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,049.40	Facility		$731.38	$731.38	$1,049.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $918.89	Professional		$533.91	$533.91	$918.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $965.45 / $1,049.40 / $1,993.86	Professional		$965.45	$1,049.40	$1,993.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,803.42 / $4,803.42 / $4,850.12	Facility		$4,803.42	$4,803.42	$4,850.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.84 / $819.84 / $839.52	Professional		$819.84	$819.84	$839.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $431.88 / $1,252.89 / $1,671.38	Facility		$431.88	$1,252.89	$1,671.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $505.38 / $807.60	Professional		$410.67	$505.38	$807.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.50 / $1,366.20 / $2,067.50	Professional		$493.50	$1,366.20	$2,067.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,049.40	Facility		$731.38	$731.38	$1,049.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $1,246.50	Professional		$533.91	$533.91	$1,246.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $680.14 / $998.83 / $998.83	Facility		$680.14	$998.83	$998.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $680.14 / $998.83 / $1,023.33	Professional		$680.14	$998.83	$1,023.33
United Facility/Professional Professional Modifier Low / Median / High Price $399.31 / $529.28 / $946.36	Professional		$399.31	$529.28	$946.36