Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $466.80 / $893.63	Facility		$85.03	$466.80	$893.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $82.20 / $278.93	Professional		$56.15	$82.20	$278.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $91.78 / $135.71	Professional		$76.84	$91.78	$135.71
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 $81.45 / $116.08 / $146.02	Professional		$81.45	$116.08	$146.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $99.56 / $99.56	Facility		$99.56	$99.56	$99.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $89.23 / $159.37	Professional		$61.28	$89.23	$159.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $130.72 / $168.28	Professional		$97.43	$130.72	$168.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $476.88 / $1,490.32	Facility		$126.06	$476.88	$1,490.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $88.36 / $101.62	Professional		$82.19	$88.36	$101.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $266.33 / $893.63	Facility		$67.09	$266.33	$893.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $84.24 / $169.48	Professional		$56.55	$84.24	$169.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $93.30 / $175.30	Professional		$73.33	$93.30	$175.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $99.56 / $99.56	Facility		$99.56	$99.56	$99.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $89.70 / $167.79	Professional		$61.11	$89.70	$167.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $66.12 / $80.76	Facility		$56.72	$66.12	$80.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $75.97 / $83.07	Professional		$56.72	$75.97	$83.07
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 $75.89 / $97.93 / $154.66	Professional		$75.89	$97.93	$154.66