Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $70.73 / $78.27	Facility		$70.73	$70.73	$78.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $87.73 / $238.01	Professional		$64.90	$87.73	$238.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $128.91 / $240.00	Professional		$96.32	$128.91	$240.00
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 $130.88 / $171.88 / $171.88	Professional		$130.88	$171.88	$171.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $165.83	Facility		$95.80	$96.73	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $186.46	Professional		$70.61	$70.61	$186.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $165.83 / $315.08	Professional		$152.56	$165.83	$315.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $73.70 / $74.16	Facility		$72.73	$73.70	$74.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $120.32 / $137.51	Professional		$116.08	$120.32	$137.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $78.26 / $273.76	Facility		$70.73	$78.26	$273.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $87.73 / $220.86	Professional		$64.90	$87.73	$220.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $205.60 / $280.51	Professional		$102.50	$205.60	$280.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $165.83	Facility		$95.80	$96.73	$165.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $198.38	Professional		$70.61	$70.61	$198.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $163.60 / $163.60	Facility		$118.87	$163.60	$163.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $163.60 / $163.60	Professional		$118.87	$163.60	$163.60
United Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $85.75 / $155.02	Professional		$61.08	$85.75	$155.02