Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.92 / $964.58 / $1,276.79	Facility		$329.92	$964.58	$1,276.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.92 / $445.78 / $641.32	Professional		$329.92	$445.78	$641.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $681.40 / $681.40 / $681.40	Professional		$681.40	$681.40	$681.40
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 $610.41 / $801.65 / $801.65	Professional		$610.41	$801.65	$801.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,063.25	Facility		$544.74	$544.74	$1,063.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $931.02	Professional		$397.66	$397.66	$931.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $978.19 / $1,063.25 / $2,020.18	Professional		$978.19	$1,063.25	$2,020.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $446.04 / $3,705.07	Facility		$446.04	$446.04	$3,705.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $626.29 / $641.32	Professional		$561.16	$626.29	$641.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $329.92 / $964.58 / $1,276.79	Facility		$329.92	$964.58	$1,276.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $329.92 / $428.89 / $808.76	Professional		$329.92	$428.89	$808.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $440.80 / $2,094.80	Professional		$338.80	$440.80	$2,094.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,063.25	Facility		$544.74	$544.74	$1,063.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $966.75	Professional		$397.66	$397.66	$966.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $554.35 / $763.02 / $763.02	Facility		$554.35	$763.02	$763.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $763.02 / $1,012.02	Professional		$554.35	$763.02	$1,012.02
United Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $403.93 / $707.26	Professional		$333.28	$403.93	$707.26