Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $166.07 / $11,633.06	Facility		$75.03	$166.07	$11,633.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $94.93	Professional		$75.03	$75.78	$94.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $81.40 / $8,459.92	Facility		$69.48	$81.40	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $77.86	Professional		$77.86	$77.86	$77.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $75.02	Facility		$70.78	$75.02	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $81.40	Professional		$75.02	$75.02	$81.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $112.63	Professional		$77.86	$77.86	$112.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $158.29 / $232.33	Facility		$102.67	$158.29	$232.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $85.70 / $88.23	Professional		$81.42	$85.70	$88.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $166.07 / $5,765.36	Facility		$76.94	$166.07	$5,765.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.94 / $187.40	Professional		$75.03	$76.94	$187.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $134.69 / $194.40	Professional		$27.40	$134.69	$194.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $75.02	Facility		$70.78	$75.02	$75.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $84.93	Professional		$75.02	$75.02	$84.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $82.74 / $96.01	Facility		$82.74	$82.74	$96.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $82.74 / $96.01	Professional		$82.74	$82.74	$96.01
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $106.03	Professional		$75.03	$79.53	$106.03