Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $102.75 / $679.00	Facility		$24.64	$102.75	$679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $68.90 / $115.17	Professional		$24.64	$68.90	$115.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $137.63 / $428.22	Professional		$137.63	$137.63	$428.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $198.51 / $5,000.00 / $77,850.02	Facility		$198.51	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $82.49 / $141.85	Professional		$79.48	$82.49	$141.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $141.88 / $279.02	Facility		$46.38	$141.88	$279.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $80.34 / $153.76	Professional		$29.76	$80.34	$153.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $62.83 / $62.83	Facility		$62.83	$62.83	$62.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $125.09 / $165.27	Professional		$95.88	$125.09	$165.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $309.45 / $369.77	Facility		$150.33	$309.45	$369.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $91.77 / $137.08	Professional		$91.77	$91.77	$137.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $142.97 / $651.00	Facility		$35.24	$142.97	$651.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $71.84 / $146.13	Professional		$27.68	$71.84	$146.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $91.40 / $91.40	Facility		$91.40	$91.40	$91.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $109.60 / $227.50	Professional		$54.02	$109.60	$227.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $101.07 / $279.02	Facility		$46.38	$101.07	$279.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $80.84 / $155.08	Professional		$29.87	$80.84	$155.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $28.33 / $102.06	Facility		$28.07	$28.33	$102.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $79.33 / $87.06	Professional		$28.07	$79.33	$87.06
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $90.67 / $151.07	Professional		$74.20	$90.67	$151.07