Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $81.20 / $314.27	Facility		$81.20	$81.20	$314.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $105.26 / $136.02	Professional		$80.76	$105.26	$136.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $147.97 / $190.00	Professional		$113.73	$147.97	$190.00
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 $150.25 / $197.31 / $197.31	Professional		$150.25	$197.31	$197.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $197.31	Facility		$106.02	$127.07	$197.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $234.38	Professional		$92.76	$92.76	$234.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $197.31 / $374.89	Professional		$181.53	$197.31	$374.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.09 / $172.09 / $172.09	Facility		$172.09	$172.09	$172.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $135.69 / $167.72	Professional		$133.25	$135.69	$167.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $81.20 / $314.27	Facility		$81.20	$81.20	$314.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $108.38 / $146.77	Professional		$81.20	$108.38	$146.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $388.80	Professional		$77.20	$77.20	$388.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $197.31	Facility		$106.02	$127.07	$197.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $236.72	Professional		$92.76	$92.76	$236.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $187.81 / $187.81	Facility		$143.63	$187.81	$187.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $187.81 / $192.45	Professional		$143.63	$187.81	$192.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.39 / $172.40	Professional		$77.62	$100.39	$172.40