Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $1,492.75 / $1,528.26	Facility		$220.27	$1,492.75	$1,528.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $257.76 / $382.48	Professional		$162.50	$257.76	$382.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $401.40 / $401.40	Professional		$401.40	$401.40	$401.40
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 $407.54 / $535.20 / $535.20	Professional		$407.54	$535.20	$535.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $535.20	Facility		$321.89	$336.03	$535.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $635.63	Professional		$245.30	$245.30	$635.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.38 / $535.20 / $1,016.88	Professional		$492.38	$535.20	$1,016.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.76 / $173.76 / $2,473.59	Facility		$173.76	$173.76	$2,473.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $381.40 / $428.16	Professional		$361.40	$381.40	$428.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $852.45 / $1,492.75 / $1,528.26	Facility		$852.45	$1,492.75	$1,528.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $276.50 / $482.76	Professional		$157.77	$276.50	$482.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $273.80 / $1,054.50	Professional		$250.00	$273.80	$1,054.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $535.20	Facility		$321.89	$336.03	$535.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $635.63	Professional		$245.30	$245.30	$635.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $370.12 / $509.42 / $509.42	Facility		$370.12	$509.42	$509.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $370.12 / $509.42 / $521.97	Professional		$370.12	$509.42	$521.97
United Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $271.32 / $482.66	Professional		$204.84	$271.32	$482.66