Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $107.80 / $180.60	Facility		$75.56	$107.80	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $104.81 / $239.70	Professional		$70.04	$104.81	$239.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $146.40 / $240.80	Professional		$97.60	$146.40	$240.80
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 $128.82 / $169.07 / $218.17	Professional		$128.82	$169.07	$218.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $116.96 / $187.57	Professional		$76.68	$116.96	$187.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $179.74 / $179.74	Facility		$179.74	$179.74	$179.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $137.44 / $237.41	Professional		$51.00	$137.44	$237.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $145.61 / $180.31	Professional		$125.00	$145.61	$180.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $107.80 / $180.60	Facility		$75.56	$107.80	$180.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $121.79 / $240.52	Professional		$75.56	$121.79	$240.52
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $124.54 / $146.84	Professional		$105.00	$124.54	$146.84
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 $104.00 / $115.54 / $257.10	Professional		$104.00	$115.54	$257.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $110.81 / $110.81	Facility		$109.78	$110.81	$110.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $116.96 / $192.08	Professional		$77.63	$116.96	$192.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $103.45 / $121.40	Facility		$103.45	$103.45	$121.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $121.40 / $121.40	Professional		$103.45	$121.40	$121.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $125.10 / $211.79	Professional		$97.94	$125.10	$211.79