Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $97.06 / $675.32	Facility		$63.44	$97.06	$675.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $53.92 / $130.13	Professional		$34.20	$53.92	$130.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $143.38 / $143.38	Professional		$143.38	$143.38	$143.38
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 $77.65 / $112.30 / $131.60	Professional		$77.65	$112.30	$131.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Facility		$187.61	$187.61	$187.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $86.11 / $148.41	Professional		$43.77	$86.11	$148.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $119.16 / $122.27	Professional		$37.97	$119.16	$122.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $101.98 / $269.11	Facility		$63.44	$101.98	$269.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $67.17 / $143.57	Professional		$34.20	$67.17	$143.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $97.80 / $214.70	Professional		$60.70	$97.80	$214.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Facility		$187.61	$187.61	$187.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $90.60 / $162.96	Professional		$47.61	$90.60	$162.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $77.70 / $79.00	Facility		$77.70	$77.70	$79.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $77.70 / $83.51	Professional		$76.58	$77.70	$83.51
United Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $75.95 / $139.05	Professional		$52.09	$75.95	$139.05