Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $99.47 / $153.47	Facility		$28.42	$99.47	$153.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $29.63 / $46.17	Professional		$26.05	$29.63	$46.17
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
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79.95 / $79.95	Facility		$79.95	$79.95	$79.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $99.47 / $154.97	Facility		$32.81	$99.47	$154.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $40.35 / $144.91	Professional		$26.32	$40.35	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.63 / $70.18	Professional		$39.50	$52.63	$70.18
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 / $64.20	Professional		$14.74	$21.05	$64.20