Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $158.04 / $414.62	Facility		$84.35	$158.04	$414.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $98.70 / $157.02	Professional		$80.20	$98.70	$157.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $174.20 / $174.20	Professional		$174.20	$174.20	$174.20
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 $156.06 / $204.94 / $204.94	Professional		$156.06	$204.94	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $204.94	Facility		$140.54	$140.54	$204.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $243.38	Professional		$102.59	$102.59	$243.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $204.94 / $389.39	Professional		$188.54	$204.94	$389.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.56 / $98.56 / $236.00	Facility		$98.56	$98.56	$236.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $160.12 / $163.96	Professional		$143.46	$160.12	$163.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $158.04 / $373.38	Facility		$156.63	$158.04	$373.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $98.70 / $280.27	Professional		$80.20	$98.70	$280.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $120.80 / $403.80	Professional		$110.30	$120.80	$403.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $204.94	Facility		$140.54	$140.54	$204.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $243.38	Professional		$102.59	$102.59	$243.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $195.07 / $195.07	Facility		$131.68	$195.07	$195.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $195.07 / $199.80	Professional		$131.68	$195.07	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $102.25 / $179.07	Professional		$84.48	$102.25	$179.07