Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $148.00 / $150.19	Facility		$13.46	$148.00	$150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $153.37 / $464.80	Professional		$94.89	$153.37	$464.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $185.00 / $321.14	Professional		$154.22	$185.00	$321.14
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 $142.00 / $142.00 / $267.62	Facility		$142.00	$142.00	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $234.34	Professional		$103.66	$103.66	$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 $17.14 / $26.39 / $788.55	Facility		$17.14	$26.39	$788.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $199.50 / $240.86	Professional		$180.71	$199.50	$240.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $148.00 / $150.19	Facility		$13.46	$148.00	$150.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $153.37 / $360.00	Professional		$109.53	$153.37	$360.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.19 / $1,364.87 / $2,907.76	Facility		$1,099.19	$1,364.87	$2,907.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $125.70 / $527.29	Professional		$104.70	$125.70	$527.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $267.62	Facility		$142.00	$142.00	$267.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $318.00	Professional		$103.66	$103.66	$318.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.80 / $254.73 / $254.73	Facility		$194.80	$254.73	$254.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $254.73 / $260.97	Professional		$194.80	$254.73	$260.97
United Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $136.85 / $251.35	Professional		$105.44	$136.85	$251.35