Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $177.51 / $363.48	Facility		$30.52	$177.51	$363.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $45.00 / $197.00	Professional		$30.51	$45.00	$197.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $55.62 / $88.99	Professional		$45.22	$55.62	$88.99
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 $56.46 / $74.16 / $74.16	Professional		$56.46	$74.16	$74.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $88.06	Facility		$45.70	$45.70	$88.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $93.38	Professional		$33.36	$33.36	$93.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $88.06 / $167.31	Professional		$81.02	$88.06	$167.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $148.88 / $301.98	Facility		$23.84	$148.88	$301.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $53.69 / $63.04	Professional		$50.08	$53.69	$63.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $140.40 / $363.48	Facility		$33.35	$140.40	$363.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $43.18 / $150.40	Professional		$30.51	$43.18	$150.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $194.01 / $244.08	Facility		$130.76	$194.01	$244.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $103.82 / $142.69	Professional		$27.80	$103.82	$142.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $88.06	Facility		$45.70	$45.70	$88.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $93.38	Professional		$33.36	$33.36	$93.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $51.28 / $70.58	Facility		$51.28	$51.28	$70.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $70.58 / $76.52	Professional		$51.28	$70.58	$76.52
United Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $37.00 / $61.66	Professional		$27.62	$37.00	$61.66