Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.67 / $427.67 / $1,655.08	Facility		$427.67	$427.67	$1,655.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.77 / $452.82 / $638.44	Professional		$374.77	$452.82	$638.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $661.52 / $718.25 / $718.25	Professional		$661.52	$718.25	$718.25
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 $729.22 / $957.66 / $957.66	Professional		$729.22	$957.66	$957.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $957.66	Facility		$694.09	$694.09	$957.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $838.56	Professional		$506.69	$506.69	$838.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $881.05 / $957.66 / $1,819.55	Professional		$881.05	$957.66	$1,819.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.25 / $748.18 / $766.13	Professional		$718.25	$748.18	$766.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $427.67 / $427.67 / $1,655.08	Facility		$427.67	$427.67	$1,655.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $374.76 / $469.58 / $766.13	Professional		$374.76	$469.58	$766.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.60 / $1,306.09 / $1,886.80	Professional		$648.60	$1,306.09	$1,886.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $957.66	Facility		$694.09	$694.09	$957.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $1,363.50	Professional		$506.69	$506.69	$1,363.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $662.24 / $662.24 / $911.52	Facility		$662.24	$662.24	$911.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $662.24 / $911.52 / $929.75	Professional		$662.24	$911.52	$929.75
United Facility/Professional Professional Modifier Low / Median / High Price $462.86 / $532.10 / $886.46	Professional		$462.86	$532.10	$886.46