Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $45.24 / $65.53	Facility		$45.24	$45.24	$65.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $58.41 / $96.41	Professional		$41.00	$58.41	$96.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $52.70 / $52.70	Professional		$52.70	$52.70	$52.70
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 $64.80 / $67.23 / $67.23	Professional		$64.80	$67.23	$67.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Facility		$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $67.25 / $115.76	Professional		$44.56	$67.25	$115.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $103.68 / $133.11	Professional		$77.06	$103.68	$133.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $45.24 / $65.53	Facility		$45.24	$45.24	$65.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $63.66 / $134.99	Professional		$43.18	$63.66	$134.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $71.59 / $137.90	Professional		$71.59	$71.59	$137.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Facility		$75.72	$75.72	$75.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $67.83 / $118.03	Professional		$44.58	$67.83	$118.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $47.96 / $66.03	Facility		$43.33	$47.96	$66.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $60.47 / $66.05	Professional		$43.33	$60.47	$66.05
United Facility/Professional Facility Modifier Low / Median / High Price $217.66 / $507.88 / $3,742.00	Facility		$217.66	$507.88	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $74.78 / $121.05	Professional		$57.08	$74.78	$121.05