Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $261.80 / $766.54	Facility		$42.42	$261.80	$766.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $40.94 / $90.77	Professional		$26.25	$40.94	$90.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Professional		$54.52	$54.52	$54.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $60.40 / $85.34	Professional		$42.57	$60.40	$85.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $49.24 / $49.24	Facility		$49.24	$49.24	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $44.44 / $86.85	Professional		$29.55	$44.44	$86.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $67.86 / $87.32	Professional		$50.56	$67.86	$87.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $204.38 / $341.24	Facility		$97.12	$204.38	$341.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $43.84 / $52.78	Professional		$39.47	$43.84	$52.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $193.20 / $783.86	Facility		$42.42	$193.20	$783.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $43.92 / $88.98	Professional		$27.63	$43.92	$88.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $57.20 / $86.30	Professional		$41.27	$57.20	$86.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $49.24 / $49.24	Facility		$49.24	$49.24	$49.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $45.26 / $89.66	Professional		$29.70	$45.26	$89.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $28.87 / $40.88	Facility		$28.14	$28.87	$40.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $37.71 / $43.56	Professional		$28.14	$37.71	$43.56
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $49.33 / $81.17	Professional		$35.64	$49.33	$81.17