Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $287.00 / $957.00	Facility		$88.00	$287.00	$957.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $95.41 / $261.27	Professional		$73.45	$95.41	$261.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $155.49	Professional		$64.93	$64.93	$155.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $8,639.91 / $79,506.39	Facility		$50.28	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $140.80 / $169.35	Professional		$84.77	$140.80	$169.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $97.68 / $180.89	Facility		$72.78	$97.68	$180.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $117.65 / $188.85	Professional		$71.22	$117.65	$188.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $118.29 / $253.01	Professional		$99.71	$118.29	$253.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $405.60 / $413.20	Facility		$130.30	$405.60	$413.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $96.21 / $102.10	Professional		$96.21	$96.21	$102.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $281.60 / $957.00	Facility		$88.00	$281.60	$957.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $105.74 / $267.24	Professional		$77.81	$105.74	$267.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $86.34 / $325.80	Professional		$42.06	$86.34	$325.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $97.68 / $170.40	Facility		$72.78	$97.68	$170.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $115.49 / $178.51	Professional		$74.01	$115.49	$178.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $244.04	Facility		$85.96	$85.96	$244.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $85.96 / $244.04	Professional		$84.61	$85.96	$244.04
United Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $95.93	Facility		$95.93	$95.93	$95.93
United Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $99.30 / $168.28	Professional		$76.38	$99.30	$168.28