Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $266.89 / $1,032.90	Facility		$266.89	$266.89	$1,032.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $295.30 / $327.31	Professional		$214.17	$295.30	$327.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $551.26 / $551.26	Professional		$551.26	$551.26	$551.26
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 $493.83 / $648.54 / $648.54	Professional		$493.83	$648.54	$648.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $547.26	Facility		$319.76	$319.76	$547.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $583.88	Professional		$233.42	$233.42	$583.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $503.48 / $547.26 / $1,039.79	Professional		$503.48	$547.26	$1,039.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.92 / $437.92 / $437.92	Professional		$437.92	$437.92	$437.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $266.89 / $1,032.90	Facility		$266.89	$266.89	$1,032.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $302.41 / $493.83	Professional		$214.16	$302.41	$493.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $190.60 / $1,078.20	Professional		$145.10	$190.60	$1,078.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $547.26	Facility		$319.76	$319.76	$547.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $583.88	Professional		$233.42	$233.42	$583.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $617.29 / $617.29	Facility		$448.47	$617.29	$617.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $617.29 / $617.29	Professional		$448.47	$617.29	$617.29
United Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $323.54 / $547.26	Professional		$215.70	$323.54	$547.26