Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.37 / $786.41 / $786.41	Facility		$169.37	$786.41	$786.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $214.74 / $487.00	Professional		$168.44	$214.74	$487.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.29 / $242.29 / $242.29	Professional		$242.29	$242.29	$242.29
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 $313.38 / $411.55 / $411.55	Professional		$313.38	$411.55	$411.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $548.74	Facility		$261.02	$264.44	$548.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $480.49	Professional		$193.04	$193.04	$480.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.84 / $548.74 / $1,042.60	Professional		$504.84	$548.74	$1,042.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $87.63 / $91.12	Facility		$87.63	$87.63	$91.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $288.08 / $308.66	Professional		$277.89	$288.08	$308.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $195.09 / $196.09 / $786.41	Facility		$195.09	$196.09	$786.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $214.74 / $368.69	Professional		$159.00	$214.74	$368.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $227.50 / $1,081.09	Professional		$173.10	$227.50	$1,081.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $548.74	Facility		$261.02	$264.44	$548.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $499.50	Professional		$193.04	$193.04	$499.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $284.58 / $391.72	Facility		$284.58	$284.58	$391.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $391.72 / $522.29	Professional		$284.58	$391.72	$522.29
United Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $211.03 / $371.14	Professional		$174.01	$211.03	$371.14