Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $248.83 / $406.91	Facility		$60.62	$248.83	$406.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $68.01 / $212.47	Professional		$51.09	$68.01	$212.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $54.29 / $107.55	Professional		$47.36	$54.29	$107.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $205.71 / $8,639.91 / $79,506.39	Facility		$205.71	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $78.97 / $118.35	Professional		$58.97	$78.97	$118.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $67.18 / $137.83	Facility		$38.15	$67.18	$137.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $84.00 / $135.51	Professional		$51.62	$84.00	$135.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $81.36 / $173.70	Professional		$68.54	$81.36	$173.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $124.93 / $370.62	Facility		$96.09	$124.93	$370.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $76.70 / $110.95	Professional		$66.09	$76.70	$110.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.41 / $203.35 / $428.89	Facility		$77.41	$203.35	$428.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $80.72 / $191.59	Professional		$54.13	$80.72	$191.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $65.00 / $108.50	Professional		$23.50	$65.00	$108.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $67.18 / $137.83	Facility		$38.15	$67.18	$137.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $82.65 / $135.22	Professional		$51.62	$82.65	$135.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $59.71 / $77.44	Facility		$59.71	$59.71	$77.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $59.71 / $77.44	Professional		$58.64	$59.71	$77.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $70.97 / $116.29	Professional		$52.79	$70.97	$116.29