Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $331.66 / $738.48	Facility		$62.66	$331.66	$738.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $79.41 / $206.60	Professional		$42.37	$79.41	$206.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Professional		$64.06	$64.06	$64.06
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 $83.68 / $119.23 / $157.96	Professional		$83.68	$119.23	$157.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $86.09 / $144.26	Professional		$45.33	$86.09	$144.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $135.32 / $173.34	Professional		$100.35	$135.32	$173.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $397.93 / $644.97	Facility		$257.85	$397.93	$644.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $93.35 / $127.30	Professional		$84.86	$93.35	$127.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $308.73 / $841.88	Facility		$55.60	$308.73	$841.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $83.43 / $162.72	Professional		$42.99	$83.43	$162.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $92.50 / $183.04	Professional		$59.46	$92.50	$183.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $87.50 / $153.86	Professional		$45.33	$87.50	$153.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $56.45 / $80.70	Facility		$41.50	$56.45	$80.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $78.77 / $86.54	Professional		$41.50	$78.77	$86.54
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $97.89 / $158.03	Professional		$74.39	$97.89	$158.03