Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $119.00 / $122.40	Facility		$78.31	$119.00	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $87.24 / $208.01	Professional		$52.64	$87.24	$208.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $91.39 / $182.78	Professional		$80.00	$91.39	$182.78
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 $106.01 / $109.67 / $159.68	Professional		$106.01	$109.67	$159.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $93.01 / $155.10	Professional		$61.19	$93.01	$155.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $143.96 / $143.96	Facility		$143.96	$143.96	$143.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $126.43 / $195.49	Professional		$42.50	$126.43	$195.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $73.06 / $73.06	Facility		$73.06	$73.06	$73.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $120.79 / $138.28	Professional		$101.17	$120.79	$138.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $87.24 / $122.40	Facility		$78.31	$87.24	$122.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $99.92 / $205.56	Professional		$60.51	$99.92	$205.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Facility		$68.00	$68.00	$68.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $91.39 / $213.30	Professional		$68.00	$91.39	$213.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $88.85 / $88.85	Facility		$78.93	$88.85	$88.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $94.04 / $155.54	Professional		$62.49	$94.04	$155.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $96.53	Facility		$81.56	$81.56	$96.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $96.53 / $96.53	Professional		$81.56	$96.53	$96.53
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $103.43 / $167.24	Professional		$73.16	$103.43	$167.24