Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $840.29	Facility		$217.13	$217.13	$840.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $229.91 / $317.83	Professional		$186.87	$229.91	$317.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.29 / $413.29 / $413.29	Professional		$413.29	$413.29	$413.29
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 $370.23 / $486.22 / $486.22	Professional		$370.23	$486.22	$486.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $504.16	Facility		$311.77	$311.77	$504.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $441.45	Professional		$227.60	$227.60	$441.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $463.83 / $504.16 / $957.90	Professional		$463.83	$504.16	$957.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $340.35 / $358.65	Professional		$340.35	$340.35	$358.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $840.29	Facility		$217.13	$217.13	$840.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $235.34 / $759.71	Professional		$197.28	$235.34	$759.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.40 / $687.60 / $993.30	Professional		$341.40	$687.60	$993.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $504.16	Facility		$311.77	$311.77	$504.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $558.75	Professional		$227.60	$227.60	$558.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $232.34 / $232.34 / $462.79	Facility		$232.34	$232.34	$462.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $462.79 / $479.86	Professional		$232.34	$462.79	$479.86
United Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $274.04 / $424.82	Professional		$219.23	$274.04	$424.82