Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $87.83 / $178.85	Facility		$27.46	$87.83	$178.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $27.75 / $28.17	Professional		$25.52	$27.75	$28.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $162.85 / $211.47 / $8,639.91	Facility		$162.85	$211.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $25.19	Professional		$25.19	$25.19	$25.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $43.02 / $107.57	Facility		$21.23	$43.02	$107.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $37.17 / $56.70	Professional		$20.19	$37.17	$56.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $19.05 / $43.73	Professional		$14.86	$19.05	$43.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $85.85 / $500.40	Facility		$54.50	$85.85	$500.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $31.00	Professional		$19.38	$19.38	$31.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $85.27 / $178.85	Facility		$30.21	$85.27	$178.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.75 / $133.40	Professional		$25.19	$27.75	$133.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $172.74 / $217.32	Facility		$167.16	$172.74	$217.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $49.07 / $107.57	Facility		$21.63	$49.07	$107.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $37.17 / $56.70	Professional		$20.19	$37.17	$56.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Facility		$32.29	$32.29	$32.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $32.29 / $45.98	Professional		$28.42	$32.29	$45.98
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $21.22 / $56.58	Professional		$13.57	$21.22	$56.58