Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $125.57 / $426.67	Facility		$42.28	$125.57	$426.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $46.92 / $80.55	Professional		$37.07	$46.92	$80.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $78.03 / $86.25	Professional		$59.00	$78.03	$86.25
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 $50.82 / $60.22 / $110.36	Professional		$50.82	$60.22	$110.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $181.59 / $234.15	Facility		$88.30	$181.59	$234.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $59.95 / $100.82	Professional		$41.52	$59.95	$100.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $77.88 / $146.35	Professional		$55.43	$77.88	$146.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.93 / $368.37 / $569.21	Facility		$238.93	$368.37	$569.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $190.45 / $461.18	Professional		$190.45	$190.45	$461.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $294.72 / $427.75	Facility		$53.78	$294.72	$427.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $53.46 / $135.66	Professional		$37.46	$53.46	$135.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $94.50 / $127.30	Professional		$49.55	$94.50	$127.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $117.11 / $194.97	Facility		$88.30	$117.11	$194.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $59.62 / $100.82	Professional		$41.52	$59.62	$100.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.42 / $53.44	Facility		$38.90	$41.42	$53.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.57 / $51.78	Professional		$38.90	$47.57	$51.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $1,078.00 / $4,300.00	Facility		$162.00	$1,078.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $62.80 / $106.90	Professional		$47.94	$62.80	$106.90