Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $56.51 / $1,160.91	Facility		$56.51	$56.51	$1,160.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $66.13 / $82.35	Professional		$52.04	$66.13	$82.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $102.99 / $116.72	Professional		$82.72	$102.99	$116.72
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 $104.56 / $137.32 / $137.32	Professional		$104.56	$137.32	$137.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $132.99	Facility		$92.98	$92.98	$132.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $132.99 / $252.68	Professional		$122.35	$132.99	$252.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.55 / $794.55 / $794.55	Facility		$794.55	$794.55	$794.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $96.12 / $102.99	Professional		$77.25	$96.12	$102.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $278.64 / $1,160.91	Facility		$56.51	$278.64	$1,160.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $66.13 / $87.45	Professional		$52.03	$66.13	$87.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $55.10 / $262.00	Professional		$42.40	$55.10	$262.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $132.99	Facility		$92.98	$92.98	$132.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $130.69 / $130.69	Facility		$98.20	$130.69	$130.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $130.69 / $139.97	Professional		$98.20	$130.69	$139.97
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $68.51 / $117.21	Professional		$52.94	$68.51	$117.21