Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $149.02 / $576.71	Facility		$149.02	$149.02	$576.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $157.78 / $248.36	Professional		$145.08	$157.78	$248.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $250.26 / $276.36	Professional		$201.31	$250.26	$276.36
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 $254.09 / $333.68 / $333.68	Professional		$254.09	$333.68	$333.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $394.79	Facility		$209.59	$209.59	$394.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $345.69	Professional		$153.00	$153.00	$345.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.21 / $394.79 / $750.10	Professional		$363.21	$394.79	$750.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $260.69 / $266.95	Professional		$247.14	$260.69	$266.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $149.02 / $576.71	Facility		$149.02	$149.02	$576.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $163.63 / $385.54	Professional		$146.09	$163.63	$385.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $514.00 / $777.80	Professional		$267.39	$514.00	$777.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $394.79	Facility		$209.59	$209.59	$394.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $414.75	Professional		$153.00	$153.00	$414.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $230.75 / $230.75 / $317.61	Facility		$230.75	$230.75	$317.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $230.75 / $317.61 / $375.77	Professional		$230.75	$317.61	$375.77
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $219.98 / $250.82	Facility		$128.27	$219.98	$250.82
United Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $200.21 / $300.92	Professional		$156.07	$200.21	$300.92