Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $350.98 / $4,470.21	Facility		$106.33	$350.98	$4,470.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $2,552.16	Professional		$106.33	$107.40	$2,552.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $136.04 / $163.60	Professional		$106.33	$136.04	$163.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $115.36 / $8,459.92	Facility		$98.48	$115.36	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $110.35 / $110.35	Professional		$110.35	$110.35	$110.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $106.33	Facility		$100.32	$106.33	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $110.35	Professional		$106.33	$106.33	$110.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $116.47 / $149.13	Professional		$105.34	$116.47	$149.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.74 / $275.63 / $982.17	Facility		$252.74	$275.63	$982.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $350.98 / $4,470.21	Facility		$137.40	$350.98	$4,470.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $136.04 / $2,552.16	Professional		$106.33	$136.04	$2,552.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $212.67 / $454.70	Professional		$27.40	$212.67	$454.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $106.33	Facility		$100.32	$106.33	$106.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $135.43	Professional		$106.33	$106.33	$135.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $137.66 / $159.74	Facility		$137.66	$137.66	$159.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $159.74	Professional		$137.66	$137.66	$159.74
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $112.71 / $194.58	Professional		$106.33	$112.71	$194.58