Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $304.06 / $307.30	Facility		$156.16	$304.06	$307.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $196.03 / $255.92	Professional		$138.18	$196.03	$255.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $284.58 / $284.58	Professional		$284.58	$284.58	$284.58
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 $288.93 / $379.44 / $379.44	Professional		$288.93	$379.44	$379.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $405.92	Facility		$225.12	$237.10	$405.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $355.44	Professional		$173.08	$173.08	$355.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.45 / $405.92 / $771.25	Professional		$373.45	$405.92	$771.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $170.74 / $660.00	Facility		$138.04	$170.74	$660.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.22 / $265.61 / $298.81	Professional		$256.22	$265.61	$298.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $304.06 / $304.06 / $307.30	Facility		$304.06	$304.06	$307.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $196.03 / $296.44	Professional		$125.87	$196.03	$296.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $190.90 / $799.70	Professional		$145.30	$190.90	$799.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $405.92	Facility		$225.12	$237.10	$405.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $439.88	Professional		$173.08	$173.08	$439.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $262.39 / $361.16	Facility		$262.39	$262.39	$361.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $361.16 / $386.36	Professional		$262.39	$361.16	$386.36
United Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $190.10 / $331.53	Professional		$148.22	$190.10	$331.53