Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $666.00 / $5,350.00	Facility		$116.69	$666.00	$5,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $107.01 / $161.41	Professional		$38.74	$107.01	$161.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $35.11 / $49.40	Professional		$33.63	$35.11	$49.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,419.00 / $12,759.45	Facility		$1,084.00	$1,419.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $116.70 / $199.20	Professional		$112.46	$116.70	$199.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $106.99 / $197.01	Professional		$37.86	$106.99	$197.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $175.22 / $233.54	Professional		$135.72	$175.22	$233.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.72 / $506.49 / $761.60	Facility		$326.72	$506.49	$761.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $42.01 / $59.58	Professional		$38.19	$42.01	$59.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $1,122.16 / $5,958.00	Facility		$150.75	$1,122.16	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $117.57 / $215.31	Professional		$38.78	$117.57	$215.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $150.69 / $263.70	Professional		$150.69	$150.69	$263.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $133.01	Facility		$59.84	$59.84	$133.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $106.99 / $192.75	Professional		$37.86	$106.99	$192.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $79.67 / $153.63	Facility		$34.81	$79.67	$153.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $114.75 / $125.92	Professional		$34.81	$114.75	$125.92
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $141.54 / $236.34	Professional		$112.28	$141.54	$236.34