Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $143.10 / $553.79	Facility		$143.10	$143.10	$553.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $171.39 / $298.89	Professional		$140.94	$171.39	$298.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $297.88 / $297.88	Professional		$226.73	$297.88	$297.88
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 $250.94 / $272.81 / $272.81	Professional		$250.94	$272.81	$272.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $301.51 / $301.51	Facility		$272.81	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $353.25	Professional		$220.10	$220.10	$353.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.99 / $272.81 / $518.34	Professional		$250.99	$272.81	$518.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $292.80 / $326.42	Professional		$190.97	$292.80	$326.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $143.10 / $553.79	Facility		$143.10	$143.10	$553.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $167.46 / $304.79	Professional		$134.88	$167.46	$304.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $248.60 / $685.10	Professional		$227.00	$248.60	$685.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $301.51 / $301.51	Facility		$272.81	$301.51	$301.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $353.25	Professional		$220.10	$220.10	$353.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $313.68 / $351.86	Facility		$313.68	$313.68	$351.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $313.68 / $351.86	Professional		$310.04	$313.68	$351.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $245.92 / $401.95	Professional		$173.18	$245.92	$401.95