Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.95 / $1,301.00 / $4,211.00	Facility		$93.95	$1,301.00	$4,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.48 / $283.27	Professional		$37.15	$89.48	$283.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $62.28 / $62.28	Professional		$62.28	$62.28	$62.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $2,594.00 / $5,296.01	Facility		$680.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $142.44 / $209.72	Professional		$83.43	$142.44	$209.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $107.08 / $206.88	Professional		$46.49	$107.08	$206.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $151.72 / $154.91	Professional		$114.36	$151.72	$154.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.05 / $1,507.60 / $2,871.25	Facility		$445.05	$1,507.60	$2,871.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $95.87 / $126.50	Professional		$41.41	$95.87	$126.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.81 / $1,496.96 / $5,342.00	Facility		$95.81	$1,496.96	$5,342.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $93.85 / $284.55	Professional		$38.44	$93.85	$284.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $89.50 / $275.89	Professional		$3.00	$89.50	$275.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $108.12 / $210.56	Professional		$46.78	$108.12	$210.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $75.70 / $116.32	Facility		$41.64	$75.70	$116.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $96.88 / $106.02	Professional		$41.64	$96.88	$106.02
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $128.60 / $211.59	Professional		$91.09	$128.60	$211.59