Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $102.40 / $153.47	Facility		$28.42	$102.40	$153.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $28.77 / $88.59	Professional		$25.97	$28.77	$88.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $235.88 / $8,459.92	Facility		$177.01	$235.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $53.31 / $116.27	Facility		$33.29	$53.31	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $33.71 / $79.23	Professional		$20.60	$33.71	$79.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $47.37 / $66.67	Professional		$20.88	$47.37	$66.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $87.21 / $240.93	Facility		$47.96	$87.21	$240.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $99.47 / $153.47	Facility		$29.82	$99.47	$153.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $40.59 / $144.91	Professional		$26.32	$40.59	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.63 / $166.40	Professional		$39.50	$52.63	$166.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $58.38 / $116.27	Facility		$34.00	$58.38	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $37.64 / $79.23	Professional		$22.05	$37.64	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.79	Professional		$35.09	$35.09	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $64.20	Professional		$14.74	$21.05	$64.20