Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $57.87 / $107.46	Facility		$56.66	$57.87	$107.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $64.45 / $114.40	Professional		$55.13	$64.45	$114.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $183.48 / $209.60 / $245.55	Professional	25	$183.48	$209.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $117.65 / $117.65	Professional		$117.65	$117.65	$117.65
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $56.86 / $56.86 / $56.86	Professional	25	$56.86	$56.86	$56.86
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 $71.20 / $73.89 / $136.68	Professional		$71.20	$73.89	$136.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $85.96 / $139.75	Professional		$59.23	$85.96	$139.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $154.66 / $154.66	Facility		$154.66	$154.66	$154.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $103.30 / $145.37	Professional		$81.22	$103.30	$145.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $86.05 / $133.91	Professional		$66.81	$86.05	$133.91
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $78.34 / $78.34 / $78.34	Professional	25	$78.34	$78.34	$78.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $57.87 / $107.46	Facility		$56.66	$57.87	$107.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $79.76 / $161.53	Professional		$57.35	$79.76	$161.53
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $183.48 / $209.60 / $245.55	Professional	25	$183.48	$209.60	$245.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $93.10 / $145.90	Professional		$76.90	$93.10	$145.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $85.56 / $141.01	Professional		$63.25	$85.56	$141.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $70.11 / $80.66	Facility		$69.80	$70.11	$80.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $70.20 / $80.30	Professional		$68.25	$70.20	$80.30
United Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $82.07 / $138.03	Professional		$63.42	$82.07	$138.03
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07