Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $313.08 / $605.40	Facility		$64.00	$313.08	$605.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $54.11 / $77.22	Professional		$39.67	$54.11	$77.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $44.92 / $44.92	Professional		$37.43	$44.92	$44.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $352.19 / $457.34 / $8,639.91	Facility		$352.19	$457.34	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Professional		$58.39	$58.39	$58.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $97.32 / $218.97	Facility		$49.20	$97.32	$218.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $85.90 / $120.60	Professional		$44.26	$85.90	$120.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $44.17 / $101.36	Professional		$34.44	$44.17	$101.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $204.16 / $342.66	Facility		$81.91	$204.16	$342.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $63.64 / $72.00	Professional		$44.92	$63.64	$72.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $309.17 / $663.81	Facility		$76.48	$309.17	$663.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.52 / $309.17	Professional		$52.40	$54.52	$309.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $193.66 / $269.39	Facility		$187.43	$193.66	$269.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $115.66 / $248.83	Facility		$50.12	$115.66	$248.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $85.90 / $120.60	Professional		$44.26	$85.90	$120.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $74.86 / $112.17	Facility		$74.86	$74.86	$112.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $74.86 / $112.17	Professional		$65.88	$74.86	$112.17
United Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $54.37 / $150.66	Professional		$33.69	$54.37	$150.66