Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.62 / $1,028.00 / $5,350.00	Facility		$135.62	$1,028.00	$5,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $131.68 / $258.60	Professional		$102.21	$131.68	$258.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $237.88 / $242.32	Professional		$232.91	$237.88	$242.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,122.56 / $2,594.00 / $5,296.01	Facility		$2,122.56	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $148.32 / $246.69	Professional		$126.07	$148.32	$246.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $156.90 / $258.95	Professional		$114.80	$156.90	$258.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $229.80 / $231.45	Professional		$172.84	$229.80	$231.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.60 / $862.66 / $2,526.19	Facility		$527.60	$862.66	$2,526.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $1,522.73 / $6,432.00	Facility		$217.68	$1,522.73	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $171.73 / $312.16	Professional		$111.94	$171.73	$312.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $165.20 / $395.20	Professional		$3.00	$165.20	$395.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $160.63 / $258.95	Professional		$115.52	$160.63	$258.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $124.25 / $144.25	Facility		$121.27	$124.25	$144.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $141.00 / $154.37	Professional		$121.27	$141.00	$154.37
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 $111.86 / $148.32 / $251.40	Professional		$111.86	$148.32	$251.40