Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $832.00 / $5,958.00	Facility		$54.75	$832.00	$5,958.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $94.25 / $176.68	Professional		$50.00	$94.25	$176.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $176.54 / $176.54	Professional		$176.54	$176.54	$176.54
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 $95.37 / $98.97 / $169.68	Professional		$95.37	$98.97	$169.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $102.71 / $180.27	Professional		$56.79	$102.71	$180.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $152.41 / $155.72	Professional		$114.94	$152.41	$155.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $578.41 / $1,000.15	Facility		$250.05	$578.41	$1,000.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $1,633.00 / $7,175.00	Facility		$196.70	$1,633.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $106.48 / $234.55	Professional		$54.47	$106.48	$234.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $143.10 / $256.30	Professional		$4.00	$143.10	$256.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $107.18 / $187.23	Professional		$58.92	$107.18	$187.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $73.89 / $114.93	Facility		$50.00	$73.89	$114.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $91.94 / $100.42	Professional		$50.00	$91.94	$100.42
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 $89.11 / $125.96 / $200.24	Professional		$89.11	$125.96	$200.24