Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $41.25 / $244.03	Facility		$37.29	$41.25	$244.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $52.05 / $123.40	Professional		$40.82	$52.05	$123.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $72.90 / $150.00	Professional		$58.35	$72.90	$150.00
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 $65.15 / $75.59 / $75.59	Professional		$65.15	$75.59	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $88.25	Professional		$62.03	$62.03	$88.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $75.59 / $143.62	Professional		$69.54	$75.59	$143.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Facility		$83.46	$83.46	$83.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $63.92 / $85.22	Professional		$52.91	$63.92	$85.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $244.03 / $244.03	Facility		$37.29	$244.03	$244.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $51.21 / $120.39	Professional		$41.25	$51.21	$120.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $56.80 / $183.40	Professional		$47.40	$56.80	$183.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $92.83	Professional		$62.03	$62.03	$92.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $81.44 / $81.44	Facility		$80.76	$81.44	$81.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $81.44 / $85.18	Professional		$80.76	$81.44	$85.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $56.45 / $96.94	Professional		$43.42	$56.45	$96.94