Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $207.43	Facility		$130.66	$130.66	$207.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $163.33 / $220.66	Professional		$92.68	$163.33	$220.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Professional		$266.47	$266.47	$266.47
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 $202.90 / $266.47 / $266.47	Professional		$202.90	$266.47	$266.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $215.20	Professional		$130.22	$130.22	$215.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.15 / $266.47 / $506.29	Professional		$245.15	$266.47	$506.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.37 / $248.37 / $639.15	Facility		$248.37	$248.37	$639.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $186.53 / $199.85	Professional		$179.93	$186.53	$199.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $207.43	Facility		$130.66	$130.66	$207.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $163.33 / $266.31	Professional		$99.38	$163.33	$266.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $330.40 / $525.00	Professional		$325.00	$330.40	$525.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $309.00	Professional		$130.22	$130.22	$309.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $253.63 / $253.63	Facility		$190.51	$253.63	$253.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $253.63 / $253.63	Professional		$190.51	$253.63	$253.63
United Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $144.02 / $240.30	Professional		$117.15	$144.02	$240.30