Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $1,901.00 / $7,197.00	Facility		$91.79	$1,901.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $83.76 / $141.08	Professional		$60.55	$83.76	$141.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $92.53 / $92.53	Professional		$92.53	$92.53	$92.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $123.36 / $134.94	Professional		$97.75	$123.36	$134.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $96.40 / $165.00	Professional		$64.36	$96.40	$165.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $150.66 / $155.11	Professional		$117.18	$150.66	$155.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.62 / $890.62 / $1,092.34	Facility		$890.62	$890.62	$1,092.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $97.51 / $113.33	Professional		$95.87	$97.51	$113.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,266.00 / $8,017.00	Facility		$536.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $88.37 / $170.76	Professional		$60.93	$88.37	$170.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $100.10 / $137.27	Professional		$66.43	$100.10	$137.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $118.94 / $118.94	Facility		$118.94	$118.94	$118.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $96.75 / $176.43	Professional		$65.15	$96.75	$176.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $68.48 / $96.94	Facility		$60.76	$68.48	$96.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $83.57 / $103.87	Professional		$66.92	$83.57	$103.87
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $103.83 / $183.06	Professional		$82.27	$103.83	$183.06