Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $220.27 / $852.45	Facility		$220.27	$220.27	$852.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $276.23 / $379.38	Professional		$197.31	$276.23	$379.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $308.47 / $401.40	Professional		$308.47	$308.47	$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 $375.73 / $375.73 / $535.20	Facility		$375.73	$375.73	$535.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $635.63	Professional		$274.27	$274.27	$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 $532.16 / $532.16 / $532.16	Facility		$532.16	$532.16	$532.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $374.64 / $454.92	Professional		$361.40	$374.64	$454.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $220.27 / $852.45	Facility		$220.27	$220.27	$852.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $314.99 / $438.19	Professional		$220.27	$314.99	$438.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $215.60 / $1,054.50	Professional		$215.60	$215.60	$1,054.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $535.20	Facility		$375.73	$375.73	$535.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $635.63	Professional		$274.27	$274.27	$635.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $509.42 / $509.42	Facility		$474.24	$509.42	$509.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $474.24 / $509.42 / $521.97	Professional		$474.24	$509.42	$521.97
United Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $285.12 / $517.36	Professional		$217.04	$285.12	$517.36