Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $94.07 / $166.10	Facility		$25.27	$94.07	$166.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $22.47 / $29.06	Professional		$20.47	$22.47	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $165.50 / $8,639.91	Facility		$127.45	$165.50	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $19.71 / $19.71	Professional		$19.71	$19.71	$19.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $33.65 / $83.67	Facility		$16.61	$33.65	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.91 / $44.43	Professional		$15.84	$28.91	$44.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $20.22 / $34.22	Professional		$11.62	$20.22	$34.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $70.95 / $168.55	Facility		$39.89	$70.95	$168.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $24.50 / $24.50	Professional		$15.16	$24.50	$24.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $75.18 / $177.51	Facility		$21.48	$75.18	$177.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $22.47 / $63.79	Professional		$19.55	$22.47	$63.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $352.36 / $354.47 / $496.28	Facility		$352.36	$354.47	$496.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $38.38 / $83.67	Facility		$16.92	$38.38	$83.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.91 / $44.43	Professional		$15.84	$28.91	$44.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Facility		$25.27	$25.27	$25.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $25.27 / $35.97	Professional		$22.24	$25.27	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $16.61 / $43.97	Professional		$11.37	$16.61	$43.97