Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $63.05 / $244.00	Facility		$63.05	$63.05	$244.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $69.76 / $96.59	Professional		$59.96	$69.76	$96.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
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 $116.66 / $153.19 / $153.19	Professional		$116.66	$153.19	$153.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $153.19	Facility		$99.06	$99.06	$153.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $134.15	Professional		$72.31	$72.31	$134.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $153.19 / $291.08	Professional		$140.94	$153.19	$291.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $84.51 / $708.06	Facility		$84.51	$84.51	$708.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $107.24 / $109.18	Professional		$103.45	$107.24	$109.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $63.05 / $244.00	Facility		$63.05	$63.05	$244.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $73.78 / $244.00	Professional		$59.96	$73.78	$244.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $218.40 / $301.80	Professional		$190.00	$218.40	$301.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $153.19	Facility		$99.06	$99.06	$153.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $181.88	Professional		$72.31	$72.31	$181.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.54 / $145.82 / $145.82	Facility		$109.54	$145.82	$145.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $145.82 / $149.41	Professional		$109.54	$145.82	$149.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $77.67 / $127.39	Professional		$59.30	$77.67	$127.39