Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $226.85 / $877.91	Facility		$226.85	$226.85	$877.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $265.45 / $333.31	Professional		$187.65	$265.45	$333.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.41 / $413.41 / $413.41	Professional		$413.41	$413.41	$413.41
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 $419.72 / $551.21 / $551.21	Professional		$419.72	$551.21	$551.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $551.21	Facility		$315.25	$315.25	$551.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $482.66	Professional		$230.13	$230.13	$482.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $551.21 / $1,047.30	Professional		$507.11	$551.21	$1,047.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.21 / $372.21 / $372.21	Professional		$372.21	$372.21	$372.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $226.85 / $877.91	Facility		$226.85	$226.85	$877.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $265.45 / $348.46	Professional		$215.71	$265.45	$348.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $242.00 / $1,086.00	Professional		$184.20	$242.00	$1,086.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $551.21	Facility		$315.25	$315.25	$551.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $654.75	Professional		$230.13	$230.13	$654.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $357.25 / $524.65 / $524.65	Facility		$357.25	$524.65	$524.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $357.25 / $524.65 / $537.58	Professional		$357.25	$524.65	$537.58
United Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $274.99 / $497.09	Professional		$193.93	$274.99	$497.09