Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $123.00 / $1,359.00	Facility		$107.82	$123.00	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $110.47 / $267.00	Professional		$58.54	$110.47	$267.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $104.23 / $135.40	Professional		$69.73	$104.23	$135.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $99.25 / $136.03	Professional		$75.81	$99.25	$136.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $89.86 / $130.75	Professional		$67.88	$89.86	$130.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $103.34 / $193.90	Professional		$70.94	$103.34	$193.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $123.92 / $732.55	Professional		$94.30	$123.92	$732.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $199.00 / $1,812.00	Facility		$107.82	$199.00	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $121.78 / $255.00	Professional		$59.31	$121.78	$255.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $139.50 / $182.30	Professional		$101.90	$139.50	$182.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $87.82 / $135.74	Professional		$67.70	$87.82	$135.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $71.29 / $174.62	Facility		$71.29	$71.29	$174.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $71.43 / $174.62	Professional		$69.34	$71.43	$174.62
United Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $85.31 / $138.53	Professional		$65.56	$85.31	$138.53