Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $298.74 / $1,156.11	Facility		$298.74	$298.74	$1,156.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.32 / $316.31 / $428.12	Professional		$237.32	$316.31	$428.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.71 / $501.71 / $568.61	Professional		$501.71	$501.71	$568.61
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 $509.38 / $668.95 / $668.95	Professional		$509.38	$668.95	$668.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $606.42	Facility		$459.90	$459.90	$606.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $802.13	Professional		$335.73	$335.73	$802.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.91 / $606.42 / $1,152.22	Professional		$557.91	$606.42	$1,152.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,020.66 / $3,020.66 / $3,020.66	Facility		$3,020.66	$3,020.66	$3,020.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $522.62 / $535.16	Professional		$451.72	$522.62	$535.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $298.74 / $1,156.11	Facility		$298.74	$298.74	$1,156.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $328.02 / $485.14	Professional		$237.31	$328.02	$485.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $285.20 / $1,194.80	Professional		$217.00	$285.20	$1,194.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $606.42	Facility		$459.90	$459.90	$606.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $802.13	Professional		$335.73	$335.73	$802.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $319.68 / $319.68 / $636.72	Facility		$319.68	$319.68	$636.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $636.72 / $649.45	Professional		$319.68	$636.72	$649.45
United Facility/Professional Professional Modifier Low / Median / High Price $302.54 / $401.37 / $603.29	Professional		$302.54	$401.37	$603.29