Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $73.08 / $115.01	Facility		$21.72	$73.08	$115.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $15.35 / $42.18	Professional		$9.86	$15.35	$42.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $12.65 / $12.65	Professional		$4.22	$12.65	$12.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $101.46 / $8,639.91	Facility		$78.13	$101.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $27.42 / $69.54	Facility		$13.86	$27.42	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.72 / $31.53	Professional		$9.77	$23.72	$31.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.09 / $28.56	Professional		$9.69	$16.09	$28.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $49.92 / $93.81	Facility		$21.65	$49.92	$93.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $15.00 / $32.90	Professional		$12.65	$15.00	$32.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $63.27 / $112.25	Facility		$19.72	$63.27	$112.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.35 / $49.85	Professional		$13.71	$15.35	$49.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $278.10 / $395.82	Facility		$266.27	$278.10	$395.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $28.09 / $69.54	Facility		$14.12	$28.09	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.72 / $30.46	Professional		$9.77	$23.72	$30.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Facility		$21.09	$21.09	$21.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.09 / $22.05	Professional		$18.55	$21.09	$22.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.65 / $35.85	Professional		$8.86	$12.65	$35.85