Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $177.55 / $177.55	Facility		$42.51	$177.55	$177.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $60.04 / $218.67	Professional		$38.00	$60.04	$218.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $77.48 / $130.00	Professional		$77.48	$77.48	$130.00
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 $78.66 / $103.30 / $103.30	Professional		$78.66	$103.30	$103.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $61.21 / $95.90	Facility		$61.21	$61.21	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $83.97	Professional		$44.68	$44.68	$83.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $95.90 / $182.21	Professional		$88.23	$95.90	$182.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $135.00 / $382.00	Facility		$51.50	$135.00	$382.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $74.90 / $87.81	Professional		$72.31	$74.90	$87.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $177.55 / $177.55	Facility		$44.42	$177.55	$177.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $60.04 / $214.50	Professional		$42.50	$60.04	$214.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $45.00 / $188.90	Professional		$38.10	$45.00	$188.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $61.21 / $95.90	Facility		$61.21	$61.21	$95.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $122.63	Professional		$44.68	$44.68	$122.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $98.32 / $98.32	Facility		$75.19	$98.32	$98.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $98.32 / $100.82	Professional		$75.19	$98.32	$100.82
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $127.86 / $153.43	Facility		$108.68	$127.86	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $53.09 / $95.90	Professional		$41.28	$53.09	$95.90