Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $89.79 / $203.87	Facility		$77.63	$89.79	$203.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $128.00 / $279.01	Professional		$85.06	$128.00	$279.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $141.35 / $251.10	Professional		$125.55	$141.35	$251.10
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 $145.63 / $191.07 / $246.95	Professional		$145.63	$191.07	$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 $92.27 / $133.93 / $212.62	Professional		$92.27	$133.93	$212.62
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 $63.75 / $155.08 / $260.68	Professional		$63.75	$155.08	$260.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $76.84 / $80.59	Facility		$73.06	$76.84	$80.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $142.72 / $173.56	Professional		$122.40	$142.72	$173.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $85.65 / $235.00	Facility		$77.63	$85.65	$235.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $149.16 / $278.19	Professional		$89.83	$149.16	$278.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $99.10 / $99.10 / $99.10	Facility		$99.10	$99.10	$99.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $125.55 / $290.00	Professional		$98.10	$125.55	$290.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $130.94 / $130.94	Facility		$118.29	$130.94	$130.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $134.94 / $220.94	Professional		$94.02	$134.94	$220.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $116.50 / $136.52	Facility		$116.50	$116.50	$136.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $136.52 / $136.52	Professional		$116.50	$136.52	$136.52
United Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $149.11 / $247.80	Professional		$110.79	$149.11	$247.80