Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.74 / $476.52 / $1,291.08	Facility		$336.74	$476.52	$1,291.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $181.73 / $445.45	Professional		$110.17	$181.73	$445.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00
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 $263.97 / $346.66 / $346.66	Professional		$263.97	$346.66	$346.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $194.92 / $323.62	Facility		$185.00	$194.92	$323.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $283.38	Professional		$142.29	$142.29	$283.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.73 / $323.62 / $614.88	Professional		$297.73	$323.62	$614.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $741.19 / $1,444.75	Facility		$155.81	$741.19	$1,444.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $336.74 / $480.87 / $1,291.08	Facility		$336.74	$480.87	$1,291.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $187.34 / $445.45	Professional		$103.48	$187.34	$445.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $403.80 / $637.60	Professional		$123.70	$403.80	$637.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $194.92 / $323.62	Facility		$185.00	$194.92	$323.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $361.50	Professional		$142.29	$142.29	$361.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $222.16 / $239.71 / $329.96	Facility		$222.16	$239.71	$329.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $296.91 / $329.96	Professional		$239.71	$296.91	$329.96
United Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $174.67 / $312.61	Professional		$130.43	$174.67	$312.61