Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $261.67 / $1,012.66	Facility		$261.67	$261.67	$1,012.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $287.10 / $395.97	Professional		$256.01	$287.10	$395.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $498.05 / $498.05	Professional		$498.05	$498.05	$498.05
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 $446.17 / $585.94 / $585.94	Professional		$446.17	$585.94	$585.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $768.84	Facility		$379.03	$379.03	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $679.13	Professional		$276.69	$276.69	$679.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $718.75 / $781.25 / $1,484.38	Professional		$718.75	$781.25	$1,484.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.16 / $410.16 / $417.56	Professional		$410.16	$410.16	$417.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $261.67 / $1,012.66	Facility		$261.67	$261.67	$1,012.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $287.32 / $476.24	Professional		$256.54	$287.32	$476.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $529.10 / $1,065.50 / $1,539.20	Professional		$529.10	$1,065.50	$1,539.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $768.84	Facility		$379.03	$379.03	$768.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $679.13	Professional		$276.69	$276.69	$679.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $557.71	Facility		$280.00	$280.00	$557.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $557.71 / $743.61	Professional		$280.00	$557.71	$743.61
United Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $351.56 / $528.40	Professional		$275.16	$351.56	$528.40