Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $333.74 / $1,291.57	Facility		$333.74	$333.74	$1,291.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.92 / $390.54 / $535.28	Professional		$282.92	$390.54	$535.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $608.21 / $608.21 / $608.21	Professional		$608.21	$608.21	$608.21
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 $617.49 / $810.94 / $810.94	Professional		$617.49	$810.94	$810.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $831.05	Facility		$510.00	$510.00	$831.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $727.69	Professional		$372.30	$372.30	$727.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $764.57 / $831.05 / $1,579.00	Professional		$764.57	$831.05	$1,579.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.59 / $673.14 / $673.14	Professional		$547.59	$673.14	$673.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $333.74 / $1,291.57	Facility		$333.74	$333.74	$1,291.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $282.92 / $446.69 / $604.05	Professional		$282.92	$446.69	$604.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.30 / $410.30 / $1,637.30	Professional		$312.30	$410.30	$1,637.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $831.05	Facility		$510.00	$510.00	$831.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $1,014.00	Professional		$372.30	$372.30	$1,014.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $560.77 / $560.77 / $771.86	Facility		$560.77	$560.77	$771.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $560.77 / $771.86 / $791.00	Professional		$560.77	$771.86	$791.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.57 / $408.61 / $708.52	Professional		$342.57	$408.61	$708.52