Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $212.05 / $303.13	Facility		$57.26	$212.05	$303.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $60.62 / $82.91	Professional		$54.56	$60.62	$82.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $40.42 / $40.42	Professional		$13.47	$40.42	$40.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $284.31 / $8,639.91	Facility		$218.94	$284.31	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Professional		$52.54	$52.54	$52.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $89.69 / $223.84	Facility		$46.60	$89.69	$223.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $77.23 / $118.06	Professional		$42.25	$77.23	$118.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $53.89 / $91.21	Professional		$30.99	$53.89	$91.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.60 / $207.17 / $308.89	Facility		$95.60	$207.17	$308.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $41.50 / $41.50	Professional		$40.42	$41.50	$41.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.25 / $190.96 / $304.95	Facility		$57.25	$190.96	$304.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $61.07 / $146.77	Professional		$52.54	$61.07	$146.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.28 / $145.97 / $203.07	Facility		$141.28	$145.97	$203.07
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $102.32 / $223.84	Facility		$45.09	$102.32	$223.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $77.23 / $118.06	Professional		$42.25	$77.23	$118.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Facility		$67.36	$67.36	$67.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $67.36 / $67.36	Professional		$59.28	$67.36	$67.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $117.21	Professional		$28.29	$40.42	$117.21