Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.24 / $2,240.00 / $7,629.00	Facility		$171.24	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $135.26 / $190.04	Professional		$59.91	$135.26	$190.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
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 $146.47 / $152.00 / $152.00	Professional		$146.47	$152.00	$152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $118.56 / $251.99	Professional		$60.72	$118.56	$251.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $226.69 / $303.06	Professional		$175.51	$226.69	$303.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $143.82 / $334.61	Professional		$60.72	$143.82	$334.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $486.50 / $486.50	Professional		$27.40	$486.50	$486.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $104.94 / $104.94	Facility		$64.91	$104.94	$104.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $118.56 / $251.99	Professional		$62.41	$118.56	$251.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $151.02 / $1,179.33	Facility		$60.28	$151.02	$1,179.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $148.83 / $162.53	Professional		$60.28	$148.83	$162.53
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $186.82 / $367.72	Professional		$135.35	$186.82	$367.72