Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.45 / $406.45 / $1,572.96	Facility		$406.45	$406.45	$1,572.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $449.69 / $635.71	Professional		$336.22	$449.69	$635.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.72 / $740.72 / $839.48	Professional		$740.72	$740.72	$839.48
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 $752.02 / $987.62 / $987.62	Professional		$752.02	$987.62	$987.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $987.62	Facility		$710.11	$710.11	$987.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,173.00	Professional		$518.38	$518.38	$1,173.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $908.61 / $987.62 / $1,876.48	Professional		$908.61	$987.62	$1,876.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.33 / $780.84 / $839.48	Professional		$691.33	$780.84	$839.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $406.45 / $406.45 / $1,572.96	Facility		$406.45	$406.45	$1,572.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $466.99 / $890.84	Professional		$336.22	$466.99	$890.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.40 / $464.40 / $1,945.80	Professional		$353.40	$464.40	$1,945.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $987.62	Facility		$710.11	$710.11	$987.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,173.00	Professional		$518.38	$518.38	$1,173.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $706.12 / $940.03 / $940.03	Facility		$706.12	$940.03	$940.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $706.12 / $940.03 / $963.09	Professional		$706.12	$940.03	$963.09
United Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $494.80 / $821.19	Professional		$375.81	$494.80	$821.19