Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $318.77 / $414.14	Facility		$137.59	$318.77	$414.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $137.59 / $165.11	Professional		$136.66	$137.59	$165.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $148.27 / $8,459.92	Facility		$126.58	$148.27	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $141.82 / $141.82	Professional		$141.82	$141.82	$141.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $136.66	Facility		$128.93	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $141.82	Professional		$136.66	$136.66	$141.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $148.27 / $170.96	Professional		$141.82	$148.27	$170.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.53 / $240.53 / $281.83	Facility		$240.53	$240.53	$281.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $146.93 / $146.93	Professional		$146.93	$146.93	$146.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $232.53 / $18,552.70	Facility		$137.59	$232.53	$18,552.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $138.03 / $288.81	Professional		$136.66	$138.03	$288.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $210.10 / $255.50	Professional		$27.40	$210.10	$255.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $136.66	Facility		$128.93	$136.66	$136.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $143.34	Professional		$136.66	$136.66	$143.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $118.11 / $137.06	Facility		$118.11	$118.11	$137.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $118.11 / $137.06	Professional		$118.11	$118.11	$137.06
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $176.61	Professional		$136.66	$144.87	$176.61