Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $92.75 / $158.28	Facility		$66.72	$92.75	$158.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $94.81 / $219.87	Professional		$61.24	$94.81	$219.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $194.78 / $194.78	Professional		$104.99	$194.78	$194.78
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 $99.34 / $116.87 / $170.66	Professional		$99.34	$116.87	$170.66
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 $68.59 / $102.26 / $166.10	Professional		$68.59	$102.26	$166.10
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 $42.50 / $120.44 / $208.03	Professional		$42.50	$120.44	$208.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $76.84 / $78.20	Facility		$73.09	$76.84	$78.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $128.33 / $152.43	Professional		$106.54	$128.33	$152.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $83.30 / $144.69	Facility		$78.37	$83.30	$144.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $111.21 / $204.00	Professional		$66.70	$111.21	$204.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $76.50	Facility		$76.50	$76.50	$76.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $97.39 / $227.70	Professional		$76.50	$97.39	$227.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $97.37 / $97.37	Facility		$88.34	$97.37	$97.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $102.86 / $169.44	Professional		$70.58	$102.86	$169.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $86.53 / $101.95	Facility		$86.53	$86.53	$101.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $101.95 / $101.95	Professional		$86.53	$101.95	$101.95
United Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $183.94	Professional		$82.02	$112.36	$183.94