Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $188.90 / $731.04	Facility		$188.90	$188.90	$731.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $200.02 / $266.69	Professional		$165.54	$200.02	$266.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.10 / $296.10 / $296.10	Professional		$296.10	$296.10	$296.10
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 $322.10 / $423.00 / $423.00	Professional		$322.10	$423.00	$423.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $423.00	Facility		$293.77	$293.77	$423.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $370.40	Professional		$214.45	$214.45	$370.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.16 / $423.00 / $803.70	Professional		$389.16	$423.00	$803.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.63 / $285.63 / $301.44	Professional		$285.63	$285.63	$301.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $188.90 / $731.04	Facility		$188.90	$188.90	$731.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $200.02 / $330.47	Professional		$165.53	$200.02	$330.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.50 / $576.90 / $833.40	Professional		$286.50	$576.90	$833.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $423.00	Facility		$293.77	$293.77	$423.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $553.88	Professional		$214.45	$214.45	$553.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $292.51 / $292.51 / $402.62	Facility		$292.51	$292.51	$402.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $402.62 / $410.67	Professional		$292.51	$402.62	$410.67
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $564.00 / $676.80	Facility		$479.40	$564.00	$676.80
United Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $238.31 / $381.47	Professional		$198.64	$238.31	$381.47