Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $101.43 / $508.40	Facility		$79.23	$101.43	$508.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $91.93 / $130.00	Professional		$71.27	$91.93	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $73.04 / $91.74	Professional		$65.72	$73.04	$91.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $138.30 / $203.80	Professional		$103.52	$138.30	$203.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $169.35 / $169.35	Facility		$30.00	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $94.00 / $165.38	Professional		$67.00	$94.00	$165.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $146.61	Professional		$65.00	$65.00	$146.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $103.24 / $125.60	Facility		$99.97	$103.24	$125.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $91.73 / $122.31	Professional		$79.89	$91.73	$122.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $101.43 / $431.52	Facility		$79.23	$101.43	$431.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $100.91 / $171.20	Professional		$75.81	$100.91	$171.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.75 / $131.13	Professional		$70.00	$98.75	$131.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $95.45 / $127.27	Professional		$69.00	$95.45	$127.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $169.35 / $169.35	Facility		$30.00	$169.35	$169.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $93.31 / $158.65	Professional		$66.65	$93.31	$158.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $94.23 / $105.69	Facility		$90.11	$94.23	$105.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $94.54 / $105.69	Professional		$72.36	$94.54	$105.69
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $103.58 / $178.72	Professional		$79.29	$103.58	$178.72