Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $62.07 / $116.59	Facility		$22.64	$62.07	$116.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $21.92 / $25.58	Professional		$20.79	$21.92	$25.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $61.53 / $8,639.91	Facility		$47.39	$61.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $34.64 / $88.01	Facility		$17.52	$34.64	$88.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $30.56 / $43.16	Professional		$15.38	$30.56	$43.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $21.32 / $36.08	Professional		$12.26	$21.32	$36.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $59.06 / $113.62	Facility		$40.08	$59.06	$113.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $12.50	Professional		$9.00	$9.00	$12.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $67.27 / $116.59	Facility		$22.64	$67.27	$116.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $22.02 / $110.06	Professional		$16.79	$22.02	$110.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $418.15 / $418.15 / $418.15	Facility		$418.15	$418.15	$418.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $37.36 / $88.01	Facility		$17.84	$37.36	$88.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $30.56 / $43.16	Professional		$15.38	$30.56	$43.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $26.65 / $26.65	Facility		$24.37	$26.65	$26.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $26.65 / $26.65	Professional		$13.38	$26.65	$26.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $15.99 / $45.31	Professional		$7.88	$15.99	$45.31