Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $114.11 / $387.00	Facility		$114.11	$114.11	$387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $134.56 / $353.47	Professional		$111.25	$134.56	$353.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $215.74 / $265.08	Professional		$147.69	$215.74	$265.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $145.79 / $265.00	Professional		$140.49	$145.79	$265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $175.67 / $279.51	Professional		$132.54	$175.67	$279.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $305.07 / $305.07 / $305.07	Facility		$305.07	$305.07	$305.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $209.11 / $372.20	Professional		$159.21	$209.11	$372.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $204.11 / $1,371.50	Professional		$184.65	$204.11	$1,371.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $114.11 / $387.00	Facility		$114.11	$114.11	$387.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $191.13 / $365.09	Professional		$114.11	$191.13	$365.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $180.70 / $180.70 / $180.70	Facility		$180.70	$180.70	$180.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.70 / $247.50 / $331.52	Professional		$180.70	$247.50	$331.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $175.64 / $279.51	Professional		$132.54	$175.64	$279.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $138.88 / $159.33	Professional		$134.88	$138.88	$159.33
United Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $170.63 / $269.25	Professional		$131.35	$170.63	$269.25