Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $142.10 / $202.85	Facility		$89.79	$142.10	$202.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $119.45 / $258.00	Professional		$80.00	$119.45	$258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $135.22 / $241.49	Professional		$128.02	$135.22	$241.49
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 $144.94 / $190.59 / $246.95	Professional		$144.94	$190.59	$246.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $132.38 / $212.10	Professional		$87.44	$132.38	$212.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.67 / $212.67 / $212.67	Facility		$212.67	$212.67	$212.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $154.29 / $240.73	Professional		$51.00	$154.29	$240.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $93.65 / $101.20	Facility		$93.65	$93.65	$101.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $161.53 / $215.02	Professional		$132.22	$161.53	$215.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $142.10 / $212.00	Facility		$89.79	$142.10	$212.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $138.76 / $257.36	Professional		$89.79	$138.76	$257.36
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $140.19 / $166.16	Professional		$105.00	$140.19	$166.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Facility		$102.00	$102.00	$102.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $133.52 / $290.00	Professional		$102.00	$133.52	$290.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $130.94 / $130.94	Facility		$119.18	$130.94	$130.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $133.29 / $220.94	Professional		$91.51	$133.29	$220.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $110.42 / $126.25	Facility		$110.42	$110.42	$126.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $126.25 / $126.25	Professional		$110.42	$126.25	$126.25
United Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $141.99 / $229.79	Professional		$108.24	$141.99	$229.79