Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $215.71 / $1,359.00	Facility		$196.18	$215.71	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $203.56 / $294.43	Professional		$184.88	$203.56	$294.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.44 / $287.12 / $337.64	Professional		$263.44	$287.12	$337.64
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 $206.70 / $214.50 / $353.14	Professional		$206.70	$214.50	$353.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $264.32 / $451.10	Professional		$195.00	$264.32	$451.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $301.73 / $410.10	Professional		$207.42	$301.73	$410.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $245.04 / $385.75	Professional		$225.27	$245.04	$385.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $215.71 / $220.16 / $1,812.00	Facility		$215.71	$220.16	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $223.72 / $463.77	Professional		$190.69	$223.72	$463.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $265.99 / $400.60	Professional		$195.05	$265.99	$400.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $264.74 / $472.04	Professional		$195.00	$264.74	$472.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $198.20 / $201.99 / $234.59	Facility		$198.20	$201.99	$234.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $196.73 / $202.13 / $230.12	Professional		$196.73	$202.13	$230.12
United Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $240.85 / $399.37	Professional		$189.96	$240.85	$399.37