Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $96.02 / $371.60	Facility		$96.02	$96.02	$371.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $124.53 / $270.00	Professional		$91.31	$124.53	$270.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $174.98 / $279.95	Professional		$134.47	$174.98	$279.95
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 $177.65 / $233.30 / $233.30	Professional		$177.65	$233.30	$233.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $233.30	Facility		$152.55	$152.55	$233.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $204.29	Professional		$111.36	$111.36	$204.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $233.30 / $443.27	Professional		$214.64	$233.30	$443.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $182.27 / $186.64	Professional		$180.81	$182.27	$186.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $371.60 / $398.42	Facility		$96.02	$371.60	$398.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $128.09 / $256.52	Professional		$91.31	$128.09	$256.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $137.50 / $459.70	Professional		$125.60	$137.50	$459.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $233.30	Facility		$152.55	$152.55	$233.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $277.13	Professional		$111.36	$111.36	$277.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $222.06 / $222.06	Facility		$150.06	$222.06	$222.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $222.06 / $227.53	Professional		$150.06	$222.06	$227.53
United Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $116.90 / $210.42	Professional		$88.78	$116.90	$210.42