Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $116.81 / $116.81	Facility		$116.81	$116.81	$116.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $117.97 / $155.49	Professional		$107.52	$117.97	$155.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $109.89 / $120.28	Professional		$107.31	$109.89	$120.28
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $126.27 / $224.64	Professional		$121.68	$126.27	$224.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $139.44 / $335.00	Facility		$70.00	$139.44	$335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $144.83 / $251.50	Professional		$107.96	$144.83	$251.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $264.33 / $264.33	Facility		$264.33	$264.33	$264.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $165.87 / $248.23	Professional		$137.94	$165.87	$248.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.46 / $918.46 / $918.46	Facility		$918.46	$918.46	$918.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $145.81 / $160.40	Professional		$137.84	$145.81	$160.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $128.72 / $318.18	Professional		$115.19	$128.72	$318.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $160.90 / $160.90 / $160.90	Facility		$160.90	$160.90	$160.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $211.80 / $306.10	Professional		$160.90	$211.80	$306.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $139.44 / $335.00	Facility		$70.00	$139.44	$335.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $144.22 / $250.32	Professional		$107.96	$144.22	$250.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.69 / $119.69 / $119.69	Facility		$119.69	$119.69	$119.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $120.00 / $124.33	Professional		$116.37	$120.00	$124.33
United Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $126.27 / $209.25	Professional		$99.36	$126.27	$209.25