Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $145.86 / $190.40	Facility		$43.22	$145.86	$190.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $54.02 / $220.00	Professional		$40.07	$54.02	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $78.77 / $126.02	Professional		$50.59	$78.77	$126.02
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 $79.97 / $105.02 / $105.02	Professional		$79.97	$105.02	$105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $116.04	Facility		$56.94	$58.00	$116.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $103.05	Professional		$42.34	$42.34	$103.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $117.69 / $223.61	Professional		$108.27	$117.69	$223.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $50.96 / $378.36	Facility		$42.84	$50.96	$378.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $78.59 / $94.52	Professional		$70.92	$78.59	$94.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $179.20 / $227.42	Facility		$39.79	$179.20	$227.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $50.58 / $98.35	Professional		$31.86	$50.58	$98.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Facility		$163.00	$163.00	$163.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $48.80 / $231.90	Professional		$37.50	$48.80	$231.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $116.04	Facility		$56.94	$58.00	$116.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $104.25	Professional		$42.34	$42.34	$104.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $99.96 / $99.96	Facility		$72.63	$99.96	$99.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $99.96 / $112.02	Professional		$72.63	$99.96	$112.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $52.40 / $91.77	Professional		$37.60	$52.40	$91.77