Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $43.33 / $149.72	Facility		$6.00	$43.33	$149.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $127.31 / $260.00	Professional		$72.56	$127.31	$260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
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 $101.27 / $158.94 / $232.03	Professional		$101.27	$158.94	$232.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $132.66 / $196.23	Professional		$93.77	$132.66	$196.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $143.88 / $269.47	Professional		$98.59	$143.88	$269.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $106.80 / $106.80	Professional		$106.80	$106.80	$106.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $11.76 / $126.77	Facility		$6.00	$11.76	$126.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $134.11 / $258.00	Professional		$16.91	$134.11	$258.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $128.69 / $144.79	Professional		$66.15	$128.69	$144.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $193.00 / $278.80	Professional		$109.40	$193.00	$278.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $130.00 / $208.61	Professional		$93.77	$130.00	$208.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $127.47 / $127.47	Facility		$127.47	$127.47	$127.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $127.47 / $127.47	Professional		$100.44	$127.47	$127.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $125.79 / $193.68	Professional		$97.34	$125.79	$193.68