Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $741.64 / $13,673.39	Facility		$178.21	$741.64	$13,673.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $201.68 / $1,777.43	Professional		$176.45	$201.68	$1,777.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $176.45	Professional		$155.41	$176.45	$176.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $191.43 / $8,459.92	Facility		$163.41	$191.43	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $183.11 / $183.11	Professional		$183.11	$183.11	$183.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $176.45	Facility		$166.46	$176.45	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $186.07	Professional		$176.45	$176.45	$186.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $195.56 / $264.87	Professional		$183.11	$195.56	$264.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.76 / $461.16 / $3,142.85	Facility		$330.76	$461.16	$3,142.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $199.82 / $202.25	Professional		$199.82	$199.82	$202.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $511.27 / $6,869.43	Facility		$176.44	$511.27	$6,869.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $255.85 / $1,723.22	Professional		$176.44	$255.85	$1,723.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.20 / $378.60 / $451.60	Professional		$344.20	$378.60	$451.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $176.45	Facility		$166.46	$176.45	$176.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $199.75	Professional		$176.45	$176.45	$199.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $188.33 / $218.54	Facility		$188.33	$188.33	$218.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $188.33 / $218.54	Professional		$188.33	$188.33	$218.54
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $263.86	Professional		$176.45	$187.04	$263.86