Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $121.07 / $146.75	Facility		$28.42	$121.07	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $38.60 / $52.63	Professional		$27.72	$38.60	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
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 / $51.76 / $116.27	Facility		$33.29	$51.76	$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
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $104.41 / $146.75	Facility		$29.83	$104.41	$146.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $41.97 / $144.91	Professional		$28.07	$41.97	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,916.77 / $5,916.77 / $5,916.77	Facility		$5,916.77	$5,916.77	$5,916.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.30 / $58.30	Professional		$39.50	$54.30	$58.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $56.69 / $116.27	Facility		$34.00	$56.69	$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 / $57.46	Professional		$14.74	$21.05	$57.46