Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $150.40 / $262.39	Facility		$52.75	$150.40	$262.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $33.47 / $52.87	Professional		$28.46	$33.47	$52.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $28.30	Professional		$23.10	$23.10	$28.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $194.11 / $252.06 / $8,639.91	Facility		$194.11	$252.06	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Professional		$30.03	$30.03	$30.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $51.28 / $128.22	Facility		$26.63	$51.28	$128.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $44.19 / $67.28	Professional		$24.23	$44.19	$67.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $22.72 / $52.13	Professional		$17.71	$22.72	$52.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $97.50 / $202.41	Facility		$57.91	$97.50	$202.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $37.00 / $37.00	Professional		$23.10	$37.00	$37.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $145.97 / $299.16	Facility		$39.65	$145.97	$299.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $33.57 / $90.99	Professional		$27.72	$33.57	$90.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $201.03 / $207.74 / $288.98	Facility		$201.03	$207.74	$288.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $58.48 / $128.22	Facility		$25.78	$58.48	$128.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $44.19 / $67.28	Professional		$24.23	$44.19	$67.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Facility		$38.50	$38.50	$38.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.50 / $54.79	Professional		$33.88	$38.50	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $25.29 / $67.44	Professional		$17.32	$25.29	$67.44