Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.37 / $426.37 / $1,650.05	Facility		$426.37	$426.37	$1,650.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.09 / $451.45 / $710.61	Professional		$391.09	$451.45	$710.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $716.06 / $716.06	Professional		$537.04	$716.06	$716.06
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 $726.99 / $954.75 / $954.75	Professional		$726.99	$954.75	$954.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $999.35	Facility		$596.58	$596.58	$999.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,107.00	Professional		$435.50	$435.50	$1,107.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $919.40 / $999.35 / $1,898.77	Professional		$919.40	$999.35	$1,898.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.06 / $763.80 / $763.80	Professional		$716.06	$763.80	$763.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.37 / $426.37 / $1,650.05	Facility		$426.37	$426.37	$1,650.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $451.45 / $780.74	Professional		$391.08	$451.45	$780.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $1,363.00 / $1,968.90	Professional		$676.80	$1,363.00	$1,968.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $999.35	Facility		$596.58	$596.58	$999.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,107.00	Professional		$435.50	$435.50	$1,107.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $660.22 / $660.22 / $908.74	Facility		$660.22	$660.22	$908.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.22 / $908.74 / $951.20	Professional		$660.22	$908.74	$951.20
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $717.65	Facility		$366.99	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $430.49 / $572.85 / $860.99	Professional		$430.49	$572.85	$860.99