Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $313.80 / $1,214.41	Facility		$313.80	$313.80	$1,214.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $332.26 / $506.34	Professional		$261.54	$332.26	$506.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $444.76 / $597.29 / $597.29	Professional		$444.76	$597.29	$597.29
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 $535.05 / $702.69 / $702.69	Professional		$535.05	$702.69	$702.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $668.33	Facility		$440.05	$440.05	$668.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $585.21	Professional		$321.24	$321.24	$585.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $668.33 / $1,269.83	Professional		$614.86	$668.33	$1,269.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $548.98 / $562.16	Professional		$491.88	$548.98	$562.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $313.80 / $1,214.41	Facility		$313.80	$313.80	$1,214.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $344.56 / $1,070.13	Professional		$261.54	$344.56	$1,070.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $833.80 / $1,316.70	Professional		$267.89	$833.80	$1,316.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $668.33	Facility		$440.05	$440.05	$668.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $916.50	Professional		$321.24	$321.24	$916.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $502.39 / $668.83 / $668.83	Facility		$502.39	$668.83	$668.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $668.83 / $752.58	Professional		$502.39	$668.83	$752.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $422.56 / $633.67	Professional		$316.83	$422.56	$633.67