Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.57 / $376.57 / $1,457.33	Facility		$376.57	$376.57	$1,457.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.86 / $398.72 / $607.60	Professional		$313.86	$398.72	$607.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.41 / $632.42 / $716.76	Professional		$561.41	$632.42	$716.76
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 $642.09 / $843.24 / $843.24	Professional		$642.09	$843.24	$843.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $802.02	Facility		$501.15	$501.15	$802.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $702.28	Professional		$365.84	$365.84	$702.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.86 / $802.02 / $1,523.84	Professional		$737.86	$802.02	$1,523.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.27 / $641.22 / $674.60	Professional		$590.27	$641.22	$674.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $376.57 / $376.57 / $1,457.33	Facility		$376.57	$376.57	$1,457.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $313.86 / $413.49 / $1,253.15	Professional		$313.86	$413.49	$1,253.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.20 / $1,044.09 / $1,580.10	Professional		$434.20	$1,044.09	$1,580.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $802.02	Facility		$501.15	$501.15	$802.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $1,099.88	Professional		$365.84	$365.84	$1,099.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.89 / $802.61 / $802.61	Facility		$602.89	$802.61	$802.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.89 / $802.61 / $903.12	Professional		$602.89	$802.61	$903.12
United Facility/Professional Professional Modifier Low / Median / High Price $387.64 / $475.94 / $760.45	Professional		$387.64	$475.94	$760.45