Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $2,108.80 / $7,799.00	Facility		$93.66	$2,108.80	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $115.59 / $183.11	Professional		$61.22	$115.59	$183.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.25 / $77.25	Professional		$69.37	$77.25	$77.25
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 $124.03 / $128.71 / $128.71	Professional		$124.03	$128.71	$128.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $117.01 / $205.57	Professional		$62.85	$117.01	$205.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $192.66 / $256.23	Professional		$148.84	$192.66	$256.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $818.96 / $1,634.48	Facility		$771.56	$818.96	$1,634.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $76.23 / $97.47	Professional		$70.14	$76.23	$97.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $1,569.00 / $8,017.00	Facility		$134.75	$1,569.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $124.27 / $309.64	Professional		$64.01	$124.27	$309.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.70 / $562.90 / $562.90	Professional		$168.70	$562.90	$562.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $109.76 / $109.76	Facility		$65.08	$109.76	$109.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $116.37 / $200.63	Professional		$63.13	$116.37	$200.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.03 / $99.99 / $604.21	Facility		$62.03	$99.99	$604.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $122.64 / $134.09	Professional		$62.03	$122.64	$134.09
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 $109.49 / $140.63 / $272.17	Professional		$109.49	$140.63	$272.17