Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $266.61 / $1,031.78	Facility		$266.61	$266.61	$1,031.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $282.30 / $454.60	Professional		$233.63	$282.30	$454.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $507.47 / $507.47	Professional		$417.91	$507.47	$507.47
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 $454.60 / $597.02 / $597.02	Professional		$454.60	$597.02	$597.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $597.02	Facility		$380.63	$380.63	$597.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $522.77	Professional		$277.86	$277.86	$522.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $597.02 / $1,134.33	Professional		$549.26	$597.02	$1,134.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $466.43 / $477.62	Professional		$417.91	$466.43	$477.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $266.61 / $1,031.78	Facility		$266.61	$266.61	$1,031.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $292.75 / $485.23	Professional		$233.63	$292.75	$485.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.70 / $814.20 / $1,176.20	Professional		$538.70	$814.20	$1,176.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $597.02	Facility		$380.63	$380.63	$597.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $692.25	Professional		$277.86	$277.86	$692.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.84 / $568.25 / $568.25	Facility		$426.84	$568.25	$568.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $568.25 / $568.25	Professional		$426.84	$568.25	$568.25
United Facility/Professional Professional Modifier Low / Median / High Price $280.36 / $358.21 / $538.39	Professional		$280.36	$358.21	$538.39