Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $354.81 / $857.35	Facility		$142.66	$354.81	$857.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $193.99 / $480.73	Professional		$142.66	$193.99	$480.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $260.00 / $415.99	Professional		$175.47	$260.00	$415.99
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 $214.16 / $214.16 / $323.62	Facility		$214.16	$214.16	$323.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $291.73	Professional		$156.34	$156.34	$291.73
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 $234.45 / $273.45 / $785.31	Facility		$234.45	$273.45	$785.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.08 / $267.80 / $346.66	Professional		$234.08	$267.80	$346.66
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $346.66 / $346.66 / $346.66	Professional		$346.66	$346.66	$346.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $354.81 / $857.35	Facility		$157.84	$354.81	$857.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $183.64 / $420.66	Professional		$142.66	$183.64	$420.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,595.54 / $2,007.30	Facility		$819.61	$1,595.54	$2,007.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $166.40 / $637.60	Professional		$126.60	$166.40	$637.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $323.62	Facility		$214.16	$214.16	$323.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $361.50	Professional		$156.34	$156.34	$361.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $252.33 / $329.96 / $329.96	Facility		$252.33	$329.96	$329.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $329.96 / $329.96	Professional		$252.33	$329.96	$329.96
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $183.11	Facility		$122.08	$154.24	$183.11
United Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $178.71 / $302.88	Professional		$134.28	$178.71	$302.88