Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $112.75 / $1,359.00	Facility		$100.28	$112.75	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $103.83 / $154.41	Professional		$96.41	$103.83	$154.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $198.24 / $198.24	Professional		$121.78	$198.24	$198.24
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 $105.07 / $109.03 / $192.22	Professional		$105.07	$109.03	$192.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $140.32 / $237.30	Professional		$101.38	$140.32	$237.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $153.13 / $208.41	Professional		$105.57	$153.13	$208.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $116.65 / $125.58	Professional		$106.04	$116.65	$125.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $112.75 / $1,812.00	Facility		$112.75	$112.75	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $110.91 / $275.50	Professional		$98.44	$110.91	$275.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $134.06 / $213.20	Professional		$109.82	$134.06	$213.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $140.32 / $252.14	Professional		$101.38	$140.32	$252.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $102.98 / $122.77	Facility		$102.98	$102.98	$122.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $103.25 / $107.48	Professional		$100.09	$103.25	$107.48
United Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $128.94 / $213.28	Professional		$100.28	$128.94	$213.28