Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $772.80	Facility		$199.69	$199.69	$772.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $233.68 / $387.35	Professional		$199.69	$233.68	$387.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.44 / $412.44 / $412.44	Professional		$412.44	$412.44	$412.44
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 $369.47 / $485.22 / $485.22	Professional		$369.47	$485.22	$485.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $574.24	Facility		$345.03	$345.03	$574.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $513.00	Professional		$251.87	$251.87	$513.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.63 / $589.82 / $1,120.66	Professional		$542.63	$589.82	$1,120.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.00 / $2,221.00 / $2,242.59	Facility		$2,221.00	$2,221.00	$2,242.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.65 / $379.08 / $400.31	Professional		$339.65	$379.08	$400.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $772.80	Facility		$199.69	$199.69	$772.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $233.68 / $397.25	Professional		$199.68	$233.68	$397.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $277.39 / $1,162.09	Professional		$211.10	$277.39	$1,162.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $574.24	Facility		$345.03	$345.03	$574.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $513.00	Professional		$251.87	$251.87	$513.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $335.53 / $461.84 / $461.84	Facility		$335.53	$461.84	$461.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $335.53 / $461.84 / $561.40	Professional		$335.53	$461.84	$561.40
United Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $244.49 / $409.60	Professional		$183.91	$244.49	$409.60