Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $285.99 / $818.38	Facility		$100.80	$285.99	$818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $123.75 / $207.82	Professional		$93.98	$123.75	$207.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $93.77 / $93.77	Professional		$93.77	$93.77	$93.77
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 $128.08 / $150.09 / $236.51	Professional		$128.08	$150.09	$236.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $144.33 / $245.33	Professional		$102.71	$144.33	$245.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $199.53 / $259.64	Professional		$150.33	$199.53	$259.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.62 / $727.93 / $898.53	Facility		$419.62	$727.93	$898.53
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $880.01 / $880.01 / $880.01	Facility	50	$880.01	$880.01	$880.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $114.71 / $193.00	Professional		$99.49	$114.71	$193.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $454.74 / $962.98	Facility		$114.57	$454.74	$962.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $135.27 / $229.99	Professional		$96.99	$135.27	$229.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $176.20 / $294.70	Professional		$116.21	$176.20	$294.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $145.58 / $249.95	Professional		$102.71	$145.58	$249.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $119.11 / $150.38	Facility		$95.87	$119.11	$150.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $121.74 / $131.94	Professional		$95.87	$121.74	$131.94
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 $121.48 / $159.66 / $260.02	Professional		$121.48	$159.66	$260.02