Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $379.99 / $1,154.33	Facility		$80.37	$379.99	$1,154.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $75.81 / $149.99	Professional		$43.78	$75.81	$149.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $81.22 / $99.80	Professional		$81.22	$81.22	$99.80
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 $91.67 / $100.80 / $152.10	Professional		$91.67	$100.80	$152.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $84.39 / $142.69	Professional		$51.01	$84.39	$142.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $148.71 / $191.12	Professional		$110.65	$148.71	$191.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $385.28 / $760.48	Facility		$233.61	$385.28	$760.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $91.88 / $115.06	Professional		$49.90	$91.88	$115.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $374.51 / $1,169.53	Facility		$76.54	$374.51	$1,169.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $82.01 / $155.74	Professional		$47.00	$82.01	$155.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $95.00 / $180.40	Professional		$68.95	$95.00	$180.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $84.89 / $142.69	Professional		$51.57	$84.89	$142.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $50.46 / $85.56	Facility		$45.94	$50.46	$85.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $71.06 / $92.18	Professional		$49.05	$71.06	$92.18
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 $70.44 / $98.96 / $158.26	Professional		$70.44	$98.96	$158.26