Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $769.54 / $5,868.00	Facility		$157.13	$769.54	$5,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $209.71 / $534.13	Professional		$90.67	$209.71	$534.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $200.56 / $200.56	Professional		$200.56	$200.56	$200.56
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 $334.20 / $346.81 / $346.81	Professional		$334.20	$346.81	$346.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $235.00 / $539.12	Professional		$111.30	$235.00	$539.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $409.51 / $544.04 / $557.15	Professional		$409.51	$544.04	$557.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.48 / $350.51 / $1,709.69	Facility		$233.48	$350.51	$1,709.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $1,284.00 / $6,432.00	Facility		$263.39	$1,284.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $233.02 / $700.00	Professional		$95.30	$233.02	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $278.39 / $965.80	Professional		$5.00	$278.39	$965.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $242.30 / $539.12	Professional		$113.30	$242.30	$539.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $152.61 / $340.55	Facility		$104.06	$152.61	$340.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $298.73 / $369.17	Professional		$104.06	$298.73	$369.17
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 $214.81 / $353.27 / $659.20	Professional		$214.81	$353.27	$659.20