Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.86 / $268.86 / $1,040.49	Facility		$268.86	$268.86	$1,040.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.77 / $284.68 / $448.10	Professional		$247.77	$284.68	$448.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $451.54 / $451.54	Professional		$338.65	$451.54	$451.54
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 $458.43 / $602.04 / $602.04	Professional		$458.43	$602.04	$602.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $654.04	Facility		$382.03	$382.03	$654.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $572.70	Professional		$278.88	$278.88	$572.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $601.72 / $654.04 / $1,242.68	Professional		$601.72	$654.04	$1,242.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.44 / $470.36 / $481.64	Professional		$421.44	$470.36	$481.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $268.86 / $268.86 / $1,040.49	Facility		$268.86	$268.86	$1,040.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $295.22 / $510.97	Professional		$255.94	$295.22	$510.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,970.00 / $18,970.00 / $18,970.00	Facility		$18,970.00	$18,970.00	$18,970.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $892.00 / $1,288.59	Professional		$442.90	$892.00	$1,288.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $654.04	Facility		$382.03	$382.03	$654.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $697.88	Professional		$278.88	$278.88	$697.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.33 / $416.33 / $573.04	Facility		$416.33	$416.33	$573.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.33 / $573.04 / $622.52	Professional		$416.33	$573.04	$622.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $339.34 / $542.94	Professional		$281.58	$339.34	$542.94