Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $182.43 / $706.00	Facility		$182.43	$182.43	$706.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $193.16 / $258.07	Professional		$162.57	$193.16	$258.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $306.38 / $309.67	Professional		$260.05	$306.38	$309.67
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 $311.06 / $408.51 / $408.51	Professional		$311.06	$408.51	$408.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $442.39	Facility		$232.98	$232.98	$442.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $387.37	Professional		$170.08	$170.08	$387.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $442.39 / $840.54	Professional		$407.00	$442.39	$840.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $319.16 / $326.81	Professional		$302.56	$319.16	$326.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $182.43 / $706.00	Facility		$182.43	$182.43	$706.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $200.31 / $332.02	Professional		$168.12	$200.31	$332.02
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 $279.10 / $551.90 / $871.60	Professional		$279.10	$551.90	$871.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $442.39	Facility		$232.98	$232.98	$442.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $535.88	Professional		$170.08	$170.08	$535.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.49 / $282.49 / $388.83	Facility		$282.49	$282.49	$388.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.49 / $388.83 / $421.07	Professional		$282.49	$388.83	$421.07
United Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $220.79 / $368.40	Professional		$184.20	$220.79	$368.40