Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $195.50 / $756.59	Facility		$195.50	$195.50	$756.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $207.00 / $299.81	Professional		$180.17	$207.00	$299.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.52 / $328.34 / $332.89	Professional		$244.52	$328.34	$332.89
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 $333.35 / $437.78 / $437.78	Professional		$333.35	$437.78	$437.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $475.55	Facility		$281.20	$281.20	$475.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $416.40	Professional		$205.28	$205.28	$416.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $475.55 / $903.55	Professional		$437.51	$475.55	$903.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $342.02 / $350.23	Professional		$328.34	$342.02	$350.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $195.50 / $756.59	Facility		$195.50	$195.50	$756.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $214.66 / $355.81	Professional		$186.09	$214.66	$355.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $619.10 / $936.90	Professional		$322.00	$619.10	$936.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $475.55	Facility		$281.20	$281.20	$475.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $504.00	Professional		$205.28	$205.28	$504.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.74 / $302.74 / $416.69	Facility		$302.74	$302.74	$416.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.74 / $416.69 / $452.63	Professional		$302.74	$416.69	$452.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.76 / $257.95 / $394.80	Professional		$204.76	$257.95	$394.80