Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.46 / $341.46 / $1,321.45	Facility		$341.46	$341.46	$1,321.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $361.54 / $507.06	Professional		$297.64	$361.54	$507.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $573.46 / $573.46	Professional		$532.41	$573.46	$573.46
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 $582.22 / $764.61 / $764.61	Professional		$582.22	$764.61	$764.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $760.58	Facility		$663.31	$663.31	$760.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $707.13	Professional		$484.22	$484.22	$707.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $699.73 / $760.58 / $1,445.10	Professional		$699.73	$760.58	$1,445.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $573.46 / $597.36	Professional		$573.46	$573.46	$597.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $341.46 / $341.46 / $1,321.45	Facility		$341.46	$341.46	$1,321.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $374.93 / $594.20	Professional		$297.64	$374.93	$594.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $1,037.30 / $1,498.50	Professional		$525.50	$1,037.30	$1,498.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $760.58	Facility		$663.31	$663.31	$760.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $1,085.63	Professional		$484.22	$484.22	$1,085.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $528.73 / $528.73 / $727.77	Facility		$528.73	$528.73	$727.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $727.77 / $742.33	Professional		$528.73	$727.77	$742.33
United Facility/Professional Professional Modifier Low / Median / High Price $359.06 / $458.77 / $704.01	Professional		$359.06	$458.77	$704.01