Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $80.84 / $575.04	Facility		$50.16	$80.84	$575.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $91.16 / $125.04	Professional		$76.63	$91.16	$125.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $104.64 / $155.49	Professional		$88.32	$104.64	$155.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $106.90 / $183.67	Professional		$103.01	$106.90	$183.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $97.66 / $184.32	Professional		$68.00	$97.66	$184.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $141.10 / $211.16	Professional		$99.10	$141.10	$211.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $224.62 / $224.62	Facility		$224.62	$224.62	$224.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $104.10 / $200.20	Professional		$80.97	$104.10	$200.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $80.84 / $575.04	Facility		$50.16	$80.84	$575.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $97.22 / $199.65	Professional		$81.54	$97.22	$199.65
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $89.20 / $117.27	Professional		$74.98	$89.20	$117.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $86.38 / $131.57	Professional		$71.42	$86.38	$131.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $94.37 / $192.84	Professional		$67.77	$94.37	$192.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $93.56 / $108.37	Facility		$83.44	$93.56	$108.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $93.41 / $98.70	Professional		$83.44	$93.41	$98.70
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $98.52 / $175.80	Professional		$75.11	$98.52	$175.80