Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $166.40 / $339.00	Facility		$46.41	$166.40	$339.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $58.26 / $275.00	Professional		$34.28	$58.26	$275.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $84.57 / $112.76	Professional		$62.69	$84.57	$112.76
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 $85.86 / $112.76 / $112.76	Professional		$85.86	$112.76	$112.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $100.70	Facility		$68.22	$68.22	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $88.18	Professional		$49.80	$49.80	$88.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $100.70 / $191.33	Professional		$92.64	$100.70	$191.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.54 / $275.18 / $458.54	Facility		$199.54	$275.18	$458.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $79.88 / $95.85	Professional		$76.14	$79.88	$95.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $166.40 / $419.10	Facility		$40.57	$166.40	$419.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $58.26 / $114.02	Professional		$33.40	$58.26	$114.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $34.79 / $198.40	Professional		$25.40	$34.79	$198.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $100.70	Facility		$68.22	$68.22	$100.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $135.00	Professional		$49.80	$49.80	$135.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $77.98 / $107.33	Facility		$72.33	$77.98	$107.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $95.85 / $109.48	Professional		$77.98	$95.85	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $56.26 / $100.70	Professional		$41.87	$56.26	$100.70