Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $63.23 / $244.70	Facility		$63.23	$63.23	$244.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $72.65 / $97.12	Professional		$60.11	$72.65	$97.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $115.22 / $130.59	Professional		$115.22	$115.22	$130.59
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 $116.98 / $153.63 / $153.63	Professional		$116.98	$153.63	$153.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $153.61	Facility		$88.85	$88.85	$153.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $134.51	Professional		$64.86	$64.86	$134.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $153.61 / $291.86	Professional		$141.32	$153.61	$291.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $103.73 / $115.22	Professional		$103.73	$103.73	$115.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $63.23 / $244.70	Facility		$63.23	$63.23	$244.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $73.98 / $125.78	Professional		$60.10	$73.98	$125.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $66.70 / $302.60	Professional		$50.80	$66.70	$302.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $153.61	Facility		$88.85	$88.85	$153.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $182.63	Professional		$64.86	$64.86	$182.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $146.22 / $146.22	Facility		$109.84	$146.22	$146.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $146.22 / $149.84	Professional		$109.84	$146.22	$149.84
United Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $76.64 / $134.22	Professional		$59.46	$76.64	$134.22