Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $92.70 / $152.99	Facility		$77.27	$92.70	$152.99
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $896.01 / $4,248.51 / $5,475.08	Facility	25	$896.01	$4,248.51	$5,475.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $111.46 / $240.30	Professional		$66.91	$111.46	$240.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $124.16 / $151.32	Professional		$79.93	$124.16	$151.32
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 $86.91 / $136.66 / $184.01	Professional		$86.91	$136.66	$184.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $107.68 / $166.52	Professional		$77.45	$107.68	$166.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $94.31 / $159.63	Professional		$66.09	$94.31	$159.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $95.46	Facility		$95.46	$95.46	$95.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $94.41 / $133.22	Professional		$72.01	$94.41	$133.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $82.52 / $208.01	Facility		$77.27	$82.52	$208.01
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $896.01 / $4,248.51 / $5,475.08	Facility	25	$896.01	$4,248.51	$5,475.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $120.63 / $224.74	Professional		$77.50	$120.63	$224.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $87.53 / $125.02	Professional		$50.00	$87.53	$125.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $116.12 / $208.90	Professional		$78.00	$116.12	$208.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $107.68 / $168.55	Professional		$76.90	$107.68	$168.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $81.31 / $101.83	Facility		$81.31	$81.31	$101.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $81.81 / $101.83	Professional		$70.20	$81.81	$101.83
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $106.26 / $169.32	Professional		$80.95	$106.26	$169.32