Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $89.92 / $142.99	Facility		$27.69	$89.92	$142.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $28.25 / $56.22	Professional		$12.12	$28.25	$56.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $159.12 / $206.63 / $8,639.91	Facility		$159.12	$206.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Professional		$26.67	$26.67	$26.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $44.44 / $113.01	Facility		$22.47	$44.44	$113.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $39.24 / $55.43	Professional		$19.73	$39.24	$55.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $20.17 / $46.29	Professional		$15.73	$20.17	$46.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $80.05 / $166.48	Facility		$48.75	$80.05	$166.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $30.50 / $30.50	Professional		$20.51	$30.50	$30.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $87.18 / $142.99	Facility		$29.06	$87.18	$142.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $28.39 / $141.21	Professional		$21.54	$28.39	$141.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $96.62 / $131.57	Facility		$96.20	$96.62	$131.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $47.93 / $113.01	Facility		$22.89	$47.93	$113.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $39.24 / $55.43	Professional		$19.73	$39.24	$55.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Facility		$34.19	$34.19	$34.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $34.19 / $40.99	Professional		$30.09	$34.19	$40.99
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $26.45 / $52.90	Facility		$26.45	$26.45	$52.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.73 / $58.12	Professional		$15.39	$20.73	$58.12