Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.11 / $307.11 / $1,188.52	Facility		$307.11	$307.11	$1,188.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $325.18 / $431.07	Professional		$267.58	$325.18	$431.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $436.62 / $436.62	Professional		$436.62	$436.62	$436.62
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 $523.66 / $687.71 / $687.71	Professional		$523.66	$687.71	$687.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $683.74	Facility		$427.25	$427.25	$683.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $598.71	Professional		$311.89	$311.89	$598.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $629.04 / $683.74 / $1,299.10	Professional		$629.04	$683.74	$1,299.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.38 / $464.38 / $570.86	Professional		$464.38	$464.38	$570.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $307.11 / $307.11 / $1,188.52	Facility		$307.11	$307.11	$1,188.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $325.18 / $541.45	Professional		$267.57	$325.18	$541.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.10 / $932.50 / $1,347.10	Professional		$463.10	$932.50	$1,347.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $683.74	Facility		$427.25	$427.25	$683.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $900.00	Professional		$311.89	$311.89	$900.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $328.63 / $654.57	Facility		$328.63	$328.63	$654.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $328.63 / $654.57 / $667.66	Professional		$328.63	$654.57	$667.66
United Facility/Professional Professional Modifier Low / Median / High Price $327.80 / $405.75 / $620.20	Professional		$327.80	$405.75	$620.20