Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $98.34 / $149.81	Facility		$21.21	$98.34	$149.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.75 / $43.18	Professional		$18.46	$21.75	$43.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Professional		$14.97	$14.97	$14.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $163.47 / $8,639.91	Facility		$125.89	$163.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Professional		$19.46	$19.46	$19.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $33.22 / $82.58	Facility		$16.39	$33.22	$82.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $28.50 / $43.58	Professional		$15.69	$28.50	$43.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.96 / $33.78	Professional		$11.48	$19.96	$33.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $62.94 / $132.18	Facility		$37.53	$62.94	$132.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $24.00 / $24.00	Professional		$14.97	$24.00	$24.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $67.84 / $171.20	Facility		$20.21	$67.84	$171.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.71 / $103.04	Professional		$18.46	$21.71	$103.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $145.26 / $145.26 / $182.75	Facility		$145.26	$145.26	$182.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $37.92 / $82.58	Facility		$16.71	$37.92	$82.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $28.50 / $43.58	Professional		$15.69	$28.50	$43.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
United Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $29.94 / $29.94	Facility		$22.46	$29.94	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $15.75 / $45.66	Professional		$11.23	$15.75	$45.66