Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.96 / $164.17 / $1,359.00	Facility		$147.96	$164.17	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $155.27 / $247.18	Professional		$141.00	$155.27	$247.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $224.25 / $243.34	Professional		$142.19	$224.25	$243.34
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 $161.01 / $167.09 / $273.70	Professional		$161.01	$167.09	$273.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $201.82 / $342.68	Professional		$149.50	$201.82	$342.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $235.01 / $319.66	Professional		$161.91	$235.01	$319.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $192.56 / $1,327.63	Professional		$175.54	$192.56	$1,327.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.17 / $165.65 / $1,812.00	Facility		$164.17	$165.65	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $172.96 / $391.37	Professional		$146.72	$172.96	$391.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $202.60 / $307.82	Professional		$152.31	$202.60	$307.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $200.90 / $359.18	Professional		$151.90	$200.90	$359.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $153.94 / $176.95	Facility		$152.05	$153.94	$176.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $154.09 / $175.09	Professional		$149.90	$154.09	$175.09
United Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $173.78 / $307.55	Professional		$143.16	$173.78	$307.55