Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $163.35 / $764.13	Facility		$92.66	$163.35	$764.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $136.44 / $545.00	Professional		$77.00	$136.44	$545.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $200.72 / $290.00	Professional		$200.72	$200.72	$290.00
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 $203.78 / $267.62 / $267.62	Professional		$203.78	$267.62	$267.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $267.62	Facility		$135.00	$135.00	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $234.34	Professional		$98.55	$98.55	$234.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.21 / $267.62 / $508.48	Professional		$246.21	$267.62	$508.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $938.59 / $1,221.94	Facility		$129.80	$938.59	$1,221.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $180.71 / $205.06	Professional		$180.71	$180.71	$205.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $136.21 / $764.13	Facility		$92.66	$136.21	$764.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $143.06 / $409.38	Professional		$78.89	$143.06	$409.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $331.80 / $433.50	Professional		$88.40	$331.80	$433.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $267.62	Facility		$135.00	$135.00	$267.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $318.00	Professional		$98.55	$98.55	$318.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $254.73 / $254.73	Facility		$173.45	$254.73	$254.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $254.73 / $260.97	Professional		$173.45	$254.73	$260.97
United Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $134.97 / $241.34	Professional		$103.57	$134.97	$241.34