Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $107.60 / $165.95	Facility		$66.72	$107.60	$165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $98.70 / $235.45	Professional		$61.24	$98.70	$235.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $101.65 / $203.78	Professional		$84.00	$101.65	$203.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $155.78 / $199.80	Professional		$118.19	$155.78	$199.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $106.79 / $172.41	Professional		$67.33	$106.79	$172.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.79 / $157.79 / $157.79	Facility		$157.79	$157.79	$157.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $126.43 / $218.22	Professional		$51.00	$126.43	$218.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $94.56 / $94.56	Facility		$94.56	$94.56	$94.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $134.13 / $164.19	Professional		$113.28	$134.13	$164.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $94.06 / $102.96 / $142.10	Facility		$94.06	$102.96	$142.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $119.97 / $229.77	Professional		$66.70	$119.97	$229.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Facility		$104.00	$104.00	$104.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $110.63 / $237.90	Professional		$98.83	$110.63	$237.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $104.38	Facility		$97.37	$97.37	$104.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $107.11 / $172.89	Professional		$68.48	$107.11	$172.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $103.09 / $121.83	Facility		$103.09	$103.09	$121.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $121.83 / $121.83	Professional		$103.09	$121.83	$121.83
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $120.29 / $204.78	Professional		$87.61	$120.29	$204.78