Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $987.16 / $5,750.00	Facility		$102.95	$987.16	$5,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $160.12 / $254.52	Professional		$67.73	$160.12	$254.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $152.51	Professional		$67.50	$67.50	$152.51
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 $184.47 / $191.43 / $312.81	Professional		$184.47	$191.43	$312.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $172.70 / $312.12	Professional		$74.53	$172.70	$312.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.69 / $286.52 / $381.92	Professional		$221.69	$286.52	$381.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $547.84 / $852.80	Facility		$225.43	$547.84	$852.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $87.28 / $232.90	Professional		$79.31	$87.28	$232.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.55 / $1,020.00 / $5,868.00	Facility		$111.55	$1,020.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $162.43 / $392.13	Professional		$70.22	$162.43	$392.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.20 / $412.50 / $504.10	Professional		$208.20	$412.50	$504.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $191.69	Facility		$123.68	$123.68	$191.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $173.28 / $307.35	Professional		$75.00	$173.28	$307.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $135.87 / $735.54	Facility		$71.14	$135.87	$735.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $188.28 / $205.91	Professional		$71.14	$188.28	$205.91
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $220.58 / $405.71	Professional		$170.52	$220.58	$405.71