Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $273.00 / $709.05	Facility		$149.16	$273.00	$709.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $133.24 / $235.00	Professional		$105.76	$133.24	$235.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $139.25 / $139.25	Professional		$139.25	$139.25	$139.25
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 $145.36 / $150.84 / $264.57	Professional		$145.36	$150.84	$264.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $191.07	Facility		$191.07	$191.07	$191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $157.69 / $262.04	Professional		$115.37	$157.69	$262.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $226.01 / $294.20	Professional		$170.32	$226.01	$294.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $680.07 / $1,092.20	Facility		$619.79	$680.07	$1,092.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $153.22 / $192.76	Professional		$146.38	$153.22	$192.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $262.64 / $709.05	Facility		$149.16	$262.64	$709.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $141.60 / $261.05	Professional		$105.76	$141.60	$261.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $139.46 / $295.89	Professional		$95.50	$139.46	$295.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $191.07	Facility		$191.07	$191.07	$191.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $159.08 / $275.95	Professional		$114.68	$159.08	$275.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.41 / $131.59 / $142.72	Facility		$110.41	$131.59	$142.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $138.16 / $149.87	Professional		$110.41	$138.16	$149.87
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 $130.03 / $178.86 / $288.02	Professional		$130.03	$178.86	$288.02