Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $105.38 / $1,359.00	Facility		$95.49	$105.38	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $100.27 / $142.86	Professional		$89.35	$100.27	$142.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $136.91	Professional		$136.91	$136.91	$136.91
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 $107.02 / $111.06 / $180.67	Professional		$107.02	$111.06	$180.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $131.04 / $220.31	Professional		$99.47	$131.04	$220.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $156.15 / $212.42	Professional		$107.59	$156.15	$212.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $124.72 / $128.83	Professional		$117.11	$124.72	$128.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $106.50 / $1,812.00	Facility		$105.38	$106.50	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $111.53 / $254.00	Professional		$94.57	$111.53	$254.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $134.19 / $201.92	Professional		$101.34	$134.19	$201.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $131.04 / $234.11	Professional		$100.96	$131.04	$234.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $99.28 / $114.48	Facility		$98.33	$99.28	$114.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $99.29 / $112.98	Professional		$96.76	$99.29	$112.98
United Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $119.68 / $194.89	Professional		$93.90	$119.68	$194.89