Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $275.51	Facility		$71.19	$71.19	$275.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $74.97 / $101.44	Professional		$62.97	$74.97	$101.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50
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 $121.38 / $159.41 / $159.41	Professional		$121.38	$159.41	$159.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $160.90	Facility		$99.32	$99.32	$160.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $140.88	Professional		$72.50	$72.50	$140.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $160.90 / $305.70	Professional		$148.03	$160.90	$305.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $111.59 / $113.61	Professional		$107.65	$111.59	$113.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $275.51	Facility		$71.19	$71.19	$275.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $75.38 / $124.54	Professional		$62.96	$75.38	$124.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $219.40 / $317.00	Professional		$109.00	$219.40	$317.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $160.90	Facility		$99.32	$99.32	$160.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $178.13	Professional		$72.50	$72.50	$178.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $76.18 / $151.72	Facility		$76.18	$76.18	$151.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $151.72 / $153.15	Professional		$76.18	$151.72	$153.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $86.16 / $143.77	Professional		$72.09	$86.16	$143.77