Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $515.87 / $633.86	Facility		$119.96	$515.87	$633.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $105.20 / $449.02	Professional		$94.52	$105.20	$449.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $128.29	Professional		$128.29	$128.29	$128.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $602.98 / $803.50 / $8,459.92	Facility		$602.98	$803.50	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $100.07 / $100.07	Professional		$100.07	$100.07	$100.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $189.62 / $425.95	Facility		$121.75	$189.62	$425.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $123.38 / $290.31	Professional		$75.03	$123.38	$290.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $173.19 / $243.75	Professional		$76.33	$173.19	$243.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.33 / $316.35 / $436.86	Facility		$155.33	$316.35	$436.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $442.66 / $628.62	Facility		$119.96	$442.66	$628.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $147.53 / $529.84	Professional		$94.52	$147.53	$529.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $256.62 / $322.85	Facility		$248.35	$256.62	$322.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $213.44 / $425.95	Facility		$124.99	$213.44	$425.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $137.16 / $290.31	Professional		$75.79	$137.16	$290.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $128.29 / $192.04	Facility		$128.29	$128.29	$192.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $192.04	Professional		$128.29	$128.29	$192.04
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $76.97 / $201.80	Professional		$53.88	$76.97	$201.80