Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $47.00 / $90.43	Facility		$13.87	$47.00	$90.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $14.88 / $15.48	Professional		$13.35	$14.88	$15.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $112.17 / $8,639.91	Facility		$86.38	$112.17	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Professional		$13.35	$13.35	$13.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $22.80 / $56.50	Facility		$11.25	$22.80	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.82 / $30.04	Professional		$10.72	$19.82	$30.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $13.18 / $23.18	Professional		$7.88	$13.18	$23.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $29.00 / $43.36	Facility		$8.53	$29.00	$43.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.39 / $16.50	Professional		$10.27	$13.39	$16.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $46.55 / $90.43	Facility		$12.33	$46.55	$90.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $14.88 / $59.09	Professional		$12.33	$14.88	$59.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $121.42 / $121.42 / $121.42	Facility		$121.42	$121.42	$121.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $26.02 / $56.50	Facility		$11.46	$26.02	$56.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.82 / $30.04	Professional		$10.72	$19.82	$30.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.12 / $17.12	Facility		$17.12	$17.12	$17.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $17.12 / $24.38	Professional		$15.07	$17.12	$24.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.25 / $30.01	Professional		$7.19	$11.25	$30.01