Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.29 / $229.29 / $887.35	Facility		$229.29	$229.29	$887.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $276.76 / $384.81	Professional		$229.29	$276.76	$384.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $473.58 / $473.58 / $473.58	Professional		$473.58	$473.58	$473.58
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 $424.25 / $557.15 / $557.15	Professional		$424.25	$557.15	$557.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $707.23	Facility		$372.88	$372.88	$707.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $619.27	Professional		$272.20	$272.20	$619.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.65 / $707.23 / $1,343.74	Professional		$650.65	$707.23	$1,343.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,550.23 / $2,550.23 / $2,575.04	Facility		$2,550.23	$2,550.23	$2,575.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $435.28 / $459.65	Professional		$390.01	$435.28	$459.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $229.29 / $229.29 / $887.35	Facility		$229.29	$229.29	$887.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.28 / $276.75 / $445.87	Professional		$229.28	$276.75	$445.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $296.10 / $1,393.40	Professional		$225.40	$296.10	$1,393.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $707.23	Facility		$372.88	$372.88	$707.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $680.25	Professional		$272.20	$272.20	$680.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $385.27 / $530.30 / $530.30	Facility		$385.27	$530.30	$530.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $385.27 / $530.30 / $673.15	Professional		$385.27	$530.30	$673.15
United Facility/Professional Professional Modifier Low / Median / High Price $251.22 / $280.74 / $502.44	Professional		$251.22	$280.74	$502.44