Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $100.82 / $174.11	Facility		$71.28	$100.82	$174.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $100.75 / $240.00	Professional		$65.31	$100.75	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $114.44 / $168.30	Professional		$93.20	$114.44	$168.30
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 $124.03 / $162.66 / $215.25	Professional		$124.03	$162.66	$215.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $112.27 / $180.45	Professional		$73.20	$112.27	$180.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $169.64 / $169.64	Facility		$169.64	$169.64	$169.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $132.54 / $228.93	Professional		$51.00	$132.54	$228.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $93.65 / $93.65	Facility		$93.65	$93.65	$93.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $145.40 / $177.18	Professional		$118.07	$145.40	$177.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $100.82 / $217.05	Facility		$71.28	$100.82	$217.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $115.32 / $238.90	Professional		$71.28	$115.32	$238.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Facility		$103.00	$103.00	$103.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $112.80 / $247.20	Professional		$103.00	$112.80	$247.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $112.12	Facility		$104.52	$104.52	$112.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $113.28 / $181.13	Professional		$73.64	$113.28	$181.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $103.83 / $122.14	Facility		$103.83	$103.83	$122.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $122.14 / $122.14	Professional		$103.83	$122.14	$122.14
United Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $126.12 / $209.59	Professional		$97.31	$126.12	$209.59