Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $56.75 / $85.38	Facility		$15.41	$56.75	$85.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.82 / $23.21	Professional		$10.36	$11.82	$23.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $85.94 / $8,639.91	Facility		$66.18	$85.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $17.48 / $43.46	Facility		$8.63	$17.48	$43.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $22.85	Professional		$8.23	$15.28	$22.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $10.50 / $17.76	Professional		$6.04	$10.50	$17.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $33.42 / $77.01	Facility		$17.29	$33.42	$77.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $12.50 / $12.50	Professional		$7.87	$12.50	$12.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $54.19 / $109.45	Facility		$13.51	$54.19	$109.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $11.89 / $45.28	Professional		$9.83	$11.89	$45.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $411.52 / $411.52 / $411.52	Facility		$411.52	$411.52	$411.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $19.93 / $43.46	Facility		$8.78	$19.93	$43.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $22.85	Professional		$8.23	$15.28	$22.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Facility		$13.12	$13.12	$13.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $13.12 / $18.67	Professional		$11.55	$13.12	$18.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $8.52 / $22.99	Professional		$5.51	$8.52	$22.99