Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.75 / $220.75 / $854.30	Facility		$220.75	$220.75	$854.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $220.75 / $263.48	Professional		$186.25	$220.75	$263.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $370.74 / $370.74	Professional		$214.55	$370.74	$370.74
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 $376.40 / $494.32 / $494.32	Professional		$376.40	$494.32	$494.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $492.37	Facility		$248.05	$248.05	$492.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $442.13	Professional		$181.08	$181.08	$442.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.88 / $508.57 / $966.28	Professional		$467.88	$508.57	$966.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.02 / $386.19 / $395.46	Professional		$346.02	$386.19	$395.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $220.75 / $220.75 / $854.30	Facility		$220.75	$220.75	$854.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $233.73 / $387.26	Professional		$186.90	$233.73	$387.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,970.00 / $18,970.00 / $18,970.00	Facility		$18,970.00	$18,970.00	$18,970.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.50 / $662.10 / $1,002.00	Professional		$344.50	$662.10	$1,002.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $492.37	Facility		$248.05	$248.05	$492.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $442.13	Professional		$181.08	$181.08	$442.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $341.84 / $341.84 / $470.50	Facility		$341.84	$341.84	$470.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.84 / $470.50 / $484.07	Professional		$341.84	$470.50	$484.07
United Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $267.16 / $431.90	Professional		$222.89	$267.16	$431.90