Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $503.03 / $1,084.88	Facility		$89.43	$503.03	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $87.72 / $183.61	Professional		$57.03	$87.72	$183.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $137.16 / $156.00	Professional		$107.52	$137.16	$156.00
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 $89.33 / $106.50 / $155.72	Professional		$89.33	$106.50	$155.72
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $133.99 / $159.78 / $233.58	Professional	50	$133.99	$159.78	$233.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $106.72	Facility		$106.72	$106.72	$106.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $91.80 / $160.50	Professional		$62.14	$91.80	$160.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $144.96 / $185.69	Professional		$107.50	$144.96	$185.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $765.00 / $1,490.32	Facility		$158.00	$765.00	$1,490.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $97.96 / $110.77	Professional		$74.05	$97.96	$110.77
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.81 / $139.13 / $153.04	Professional	50	$134.81	$139.13	$153.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.61 / $358.02 / $1,027.33	Facility		$70.61	$358.02	$1,027.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $93.32 / $183.33	Professional		$59.10	$93.32	$183.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $93.20 / $186.70	Professional		$88.20	$93.20	$186.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $106.72	Facility		$106.72	$106.72	$106.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $93.19 / $161.53	Professional		$62.66	$93.19	$161.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $61.24 / $85.38	Facility		$61.03	$61.24	$85.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $77.92 / $91.78	Professional		$61.03	$77.92	$91.78
United Facility/Professional Facility Modifier Low / Median / High Price $362.00 / $674.00 / $3,742.00	Facility		$362.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $101.50 / $165.91	Professional		$74.20	$101.50	$165.91