Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $67.40 / $260.83	Facility		$67.40	$67.40	$260.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $71.36 / $95.15	Professional		$59.06	$71.36	$95.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $113.19 / $113.19	Professional		$86.99	$113.19	$113.19
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 $114.92 / $150.91 / $150.91	Professional		$114.92	$150.91	$150.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $150.91	Facility		$100.03	$100.03	$150.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $132.15	Professional		$73.02	$73.02	$132.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $150.91 / $286.75	Professional		$138.85	$150.91	$286.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $117.91 / $120.74	Professional		$105.64	$117.91	$120.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $67.40 / $260.83	Facility		$67.40	$67.40	$260.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $71.36 / $122.67	Professional		$59.06	$71.36	$122.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $66.20 / $297.30	Professional		$50.40	$66.20	$297.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $150.91	Facility		$100.03	$100.03	$150.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $179.25	Professional		$73.02	$73.02	$179.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $143.65 / $143.65	Facility		$107.90	$143.65	$143.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $143.65 / $147.19	Professional		$107.90	$143.65	$147.19
United Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $81.81 / $136.09	Professional		$68.05	$81.81	$136.09