Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $307.61 / $6,012.00	Facility		$143.47	$307.61	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $212.24 / $398.54	Professional		$117.35	$212.24	$398.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $182.81 / $182.81	Professional		$182.81	$182.81	$182.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $207.32 / $347.84	Professional		$199.78	$207.32	$347.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $215.12 / $357.57	Professional		$123.72	$215.12	$357.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $324.39 / $334.24	Professional		$244.45	$324.39	$334.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $300.17 / $455.41	Facility		$115.60	$300.17	$455.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $540.44 / $7,799.00	Facility		$169.58	$540.44	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $225.00 / $513.16	Professional		$121.71	$225.00	$513.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $149.50 / $576.50	Professional		$140.60	$149.50	$576.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $223.42 / $399.71	Professional		$129.16	$223.42	$399.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $126.67 / $203.72	Facility		$120.88	$126.67	$203.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $195.22 / $221.07	Professional		$120.01	$195.22	$221.07
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $234.10 / $376.07	Professional		$166.67	$234.10	$376.07