Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $1,819.00 / $7,197.00	Facility		$44.55	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $47.61 / $103.30	Professional		$35.67	$47.61	$103.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $90.97 / $90.97	Professional		$90.97	$90.97	$90.97
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 $43.75 / $63.37 / $88.39	Professional		$43.75	$63.37	$88.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $60.22 / $94.67	Professional		$43.99	$60.22	$94.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $78.33 / $78.33	Professional		$58.93	$78.33	$78.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $1,901.00 / $7,799.00	Facility		$264.00	$1,901.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $58.49 / $123.79	Professional		$38.08	$58.49	$123.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $84.90 / $126.90	Professional		$62.80	$84.90	$126.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $60.69 / $99.83	Professional		$44.15	$60.69	$99.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $47.18 / $55.09	Facility		$39.26	$47.18	$55.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $47.28 / $51.42	Professional		$39.26	$47.28	$51.42
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $61.10 / $101.13	Professional		$47.42	$61.10	$101.13