Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.44 / $188.75 / $408.00	Facility		$93.44	$188.75	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $104.51 / $357.10	Professional		$90.11	$104.51	$357.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $164.19 / $200.11	Professional		$104.55	$164.19	$200.11
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 $108.78 / $112.88 / $187.79	Professional		$108.78	$112.88	$187.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $122.02 / $368.80	Facility		$112.38	$122.02	$368.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $121.73 / $200.24	Professional		$86.76	$121.73	$200.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $138.44 / $166.66	Professional		$103.78	$138.44	$166.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $128.86 / $196.61	Professional		$108.95	$128.86	$196.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $257.52 / $412.82	Facility		$104.51	$257.52	$412.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $142.63 / $313.00	Professional		$91.05	$142.63	$313.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $165.99 / $221.32	Professional		$140.80	$165.99	$221.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $122.02 / $368.80	Facility		$112.38	$122.02	$368.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $123.02 / $204.43	Professional		$88.53	$123.02	$204.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $104.84 / $104.84	Facility		$104.84	$104.84	$104.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $104.84 / $110.01	Professional		$102.30	$104.84	$110.01
United Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $118.74 / $199.16	Professional		$92.36	$118.74	$199.16