Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $191.23 / $454.79	Facility		$94.67	$191.23	$454.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $102.35 / $172.09	Professional		$89.35	$102.35	$172.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $107.19 / $107.19	Professional		$107.19	$107.19	$107.19
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 $109.25 / $113.38 / $209.14	Professional		$109.25	$113.38	$209.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $124.04 / $407.52	Facility		$123.17	$124.04	$407.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $130.86 / $208.70	Professional		$88.29	$130.86	$208.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $139.13 / $164.61	Professional		$115.27	$139.13	$164.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $174.37 / $203.89	Professional		$157.78	$174.37	$203.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $291.91 / $473.00	Facility		$105.17	$291.91	$473.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $110.00 / $312.35	Professional		$93.39	$110.00	$312.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $166.08 / $221.44	Professional		$140.10	$166.08	$221.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $124.04 / $407.52	Facility		$123.17	$124.04	$407.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $130.86 / $209.81	Professional		$91.88	$130.86	$209.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $105.90 / $105.90	Facility		$105.90	$105.90	$105.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $105.90 / $110.61	Professional		$103.23	$105.90	$110.61
United Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $125.52 / $205.20	Professional		$98.24	$125.52	$205.20