Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $60.36 / $233.59	Facility		$60.36	$60.36	$233.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $72.09 / $114.58	Professional		$55.57	$72.09	$114.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $124.66	Professional		$110.00	$110.00	$124.66
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 $111.67 / $146.66 / $146.66	Professional		$111.67	$146.66	$146.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $142.00	Facility		$102.60	$102.60	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $124.34	Professional		$74.90	$74.90	$124.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $142.00 / $269.80	Professional		$130.63	$142.00	$269.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $114.58 / $117.33	Professional		$102.66	$114.58	$117.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $60.36 / $233.59	Facility		$60.36	$60.36	$233.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $77.69 / $216.26	Professional		$55.57	$77.69	$216.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $59.50 / $279.80	Professional		$45.20	$59.50	$279.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $142.00	Facility		$102.60	$102.60	$142.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $182.25	Professional		$74.90	$74.90	$182.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $139.59 / $139.59	Facility		$101.42	$139.59	$139.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $139.59 / $149.47	Professional		$101.42	$139.59	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $73.17 / $132.26	Professional		$63.71	$73.17	$132.26