Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $434.59 / $694.89	Facility		$161.31	$434.59	$694.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $142.91 / $365.97	Professional		$111.03	$142.91	$365.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $226.78 / $226.78	Professional		$226.78	$226.78	$226.78
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 $119.87 / $197.42 / $291.39	Professional		$119.87	$197.42	$291.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $307.22 / $582.00	Facility		$114.62	$307.22	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $159.34 / $291.01	Professional		$92.95	$159.34	$291.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $214.60 / $459.99	Professional		$132.04	$214.60	$459.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $900.19 / $1,083.44	Facility		$195.54	$900.19	$1,083.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $188.06 / $346.75	Professional		$179.47	$188.06	$346.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.25 / $434.59 / $870.67	Facility		$181.25	$434.59	$870.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $161.31 / $372.62	Professional		$123.01	$161.31	$372.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $125.17 / $280.38	Professional		$43.36	$125.17	$280.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $296.76 / $740.67	Facility		$108.62	$296.76	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $161.55 / $288.16	Professional		$93.60	$161.55	$288.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.79 / $150.76 / $150.76	Facility		$68.79	$150.76	$150.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $150.76 / $163.46	Professional		$68.79	$150.76	$163.46
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $162.86 / $293.66	Professional		$86.03	$162.86	$293.66