Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.66 / $316.66 / $1,225.47	Facility		$316.66	$316.66	$1,225.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.54 / $350.34 / $408.94	Professional		$310.54	$350.34	$408.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.27 / $428.27 / $428.27	Professional		$428.27	$428.27	$428.27
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 $585.89 / $769.43 / $769.43	Professional		$585.89	$769.43	$769.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $864.69	Facility		$408.60	$408.60	$864.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $762.86	Professional		$298.27	$298.27	$762.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $801.51 / $871.21 / $1,655.30	Professional		$801.51	$871.21	$1,655.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.60 / $538.60 / $538.60	Professional		$538.60	$538.60	$538.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.66 / $316.66 / $1,225.47	Facility		$316.66	$316.66	$1,225.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $310.48 / $350.34 / $549.26	Professional		$310.48	$350.34	$549.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.10 / $382.40 / $1,716.40	Professional		$291.10	$382.40	$1,716.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $864.69	Facility		$408.60	$408.60	$864.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $882.75	Professional		$298.27	$298.27	$882.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $495.62 / $732.36 / $732.36	Facility		$495.62	$732.36	$732.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $495.62 / $732.36 / $829.23	Professional		$495.62	$732.36	$829.23
United Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $383.86 / $672.27	Professional		$271.86	$383.86	$672.27