Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $687.75 / $975.78	Facility		$263.39	$687.75	$975.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $102.50 / $402.00	Professional		$76.30	$102.50	$402.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $139.82 / $223.72	Professional		$139.82	$139.82	$223.72
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 $141.96 / $186.43 / $186.43	Professional		$141.96	$186.43	$186.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $186.43	Facility		$106.63	$106.63	$186.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $163.25	Professional		$77.84	$77.84	$163.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $186.43 / $354.22	Professional		$171.52	$186.43	$354.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.18 / $693.30 / $1,107.30	Facility		$124.18	$693.30	$1,107.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.90 / $139.82 / $158.47	Professional		$125.90	$139.82	$158.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $795.21 / $1,225.40	Facility		$263.39	$795.21	$1,225.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $102.50 / $285.22	Professional		$76.73	$102.50	$285.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $232.60 / $367.30	Professional		$62.30	$232.60	$367.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $186.43	Facility		$106.63	$106.63	$186.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $221.63	Professional		$77.84	$77.84	$221.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $177.45 / $177.45	Facility		$123.79	$177.45	$177.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $177.45 / $181.83	Professional		$123.79	$177.45	$181.83
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $93.41 / $155.02	Professional		$71.36	$93.41	$155.02