Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $224.54 / $482.00	Facility		$77.90	$224.54	$482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $75.44 / $288.22	Professional		$59.87	$75.44	$288.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66
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 $71.48 / $71.48 / $71.48	Professional		$71.48	$71.48	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $135.44 / $304.25	Facility		$86.99	$135.44	$304.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $98.14 / $207.36	Professional		$48.20	$98.14	$207.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $123.74 / $174.15	Professional		$54.54	$123.74	$174.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $194.80 / $409.44	Facility		$114.40	$194.80	$409.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $224.57 / $432.40	Facility		$77.95	$224.57	$432.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $111.36 / $378.56	Professional		$66.00	$111.36	$378.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.49 / $637.03 / $886.17	Facility		$616.49	$637.03	$886.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $137.49 / $183.32	Professional		$135.66	$137.49	$183.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $152.50 / $304.25	Facility		$89.10	$152.50	$304.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $105.80 / $207.36	Professional		$54.26	$105.80	$207.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $164.29	Facility		$91.66	$91.66	$164.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $164.29	Professional		$91.66	$91.66	$164.29
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $144.56	Professional		$38.50	$55.00	$144.56