Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $89.40	Facility		$89.40	$89.40	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $96.60 / $218.81	Professional		$79.73	$96.60	$218.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $87.42 / $134.19	Professional		$87.42	$87.42	$134.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $114.46 / $180.68	Professional		$92.20	$114.46	$180.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $200.66 / $200.66	Facility		$200.66	$200.66	$200.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $138.47 / $251.58	Professional		$105.11	$138.47	$251.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $116.55 / $116.55	Professional		$116.55	$116.55	$116.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $89.40	Facility		$89.40	$89.40	$89.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $110.09 / $239.83	Professional		$86.98	$110.09	$239.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $125.70 / $245.30	Professional		$106.20	$125.70	$245.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $91.64 / $94.63	Professional		$88.35	$91.64	$94.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $111.24 / $190.19	Professional		$86.11	$111.24	$190.19