Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $525.08 / $1,215.00	Facility		$143.76	$525.08	$1,215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $94.41 / $314.33	Professional		$62.56	$94.41	$314.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $150.72 / $150.72	Professional		$150.72	$150.72	$150.72
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 $98.16 / $139.07 / $172.70	Professional		$98.16	$139.07	$172.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Facility		$115.28	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $100.77 / $173.42	Professional		$68.65	$100.77	$173.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $158.55 / $203.68	Professional		$117.92	$158.55	$203.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.16 / $653.00 / $1,533.23	Facility		$291.16	$653.00	$1,533.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $109.52 / $123.43	Professional		$75.87	$109.52	$123.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $538.20 / $1,084.88	Facility		$143.76	$538.20	$1,084.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $101.54 / $213.83	Professional		$63.86	$101.54	$213.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $102.60 / $207.60	Professional		$97.00	$102.60	$207.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Facility		$115.28	$115.28	$115.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $101.83 / $176.10	Professional		$69.09	$101.83	$176.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $68.01 / $94.13	Facility		$66.31	$68.01	$94.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $84.27 / $101.12	Professional		$66.31	$84.27	$101.12
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $112.09 / $184.42	Professional		$82.59	$112.09	$184.42