Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $55.76 / $215.79	Facility		$55.76	$55.76	$215.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $81.37 / $388.00	Professional		$53.55	$81.37	$388.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
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 $103.17 / $135.49 / $135.49	Professional		$103.17	$135.49	$135.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $136.84	Facility		$81.70	$86.88	$136.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $146.97	Professional		$63.42	$63.42	$146.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $136.84 / $260.00	Professional		$125.89	$136.84	$260.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $108.40 / $108.40	Professional		$94.84	$108.40	$108.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $55.76 / $215.79	Facility		$55.76	$55.76	$215.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $81.37 / $226.45	Professional		$53.55	$81.37	$226.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $66.80 / $269.60	Professional		$52.30	$66.80	$269.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $136.84	Facility		$81.70	$86.88	$136.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $157.13	Professional		$63.42	$63.42	$157.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $128.96 / $128.96	Facility		$93.69	$128.96	$128.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $128.96 / $130.24	Professional		$93.69	$128.96	$130.24
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $68.27 / $122.18	Professional		$55.94	$68.27	$122.18