Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $546.15	Facility		$64.75	$64.75	$546.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $68.56 / $91.41	Professional		$48.10	$68.56	$91.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
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 $110.40 / $144.99 / $144.99	Professional		$110.40	$144.99	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $144.99	Facility		$126.00	$128.85	$144.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $132.72	Professional		$109.52	$109.52	$132.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $144.99 / $275.48	Professional		$133.38	$144.99	$275.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.29 / $522.29 / $522.29	Facility		$522.29	$522.29	$522.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $102.80	Professional		$97.90	$97.90	$102.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $546.15 / $619.85	Facility		$64.75	$546.15	$619.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $67.98 / $97.98	Professional		$46.70	$67.98	$97.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $197.80 / $285.70	Professional		$98.10	$197.80	$285.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $144.99	Facility		$126.00	$128.85	$144.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $168.00	Professional		$109.52	$109.52	$168.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $100.26 / $138.00	Facility		$100.26	$100.26	$138.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $138.00 / $138.00	Professional		$100.26	$138.00	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $86.99 / $130.75	Professional		$67.81	$86.99	$130.75