Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $134.93 / $205.40	Facility		$29.83	$134.93	$205.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $29.12 / $87.62	Professional		$23.03	$29.12	$87.62
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 $121.20 / $161.50 / $8,459.92	Facility		$121.20	$161.50	$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 $18.39 / $37.64 / $79.23	Professional		$18.39	$37.64	$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 $47.39 / $88.97 / $149.66	Facility		$47.39	$88.97	$149.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.83	Professional		$40.00	$40.00	$50.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $115.33 / $158.03	Facility		$29.82	$115.33	$158.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $35.09 / $144.91	Professional		$25.97	$35.09	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $554.04 / $572.47 / $796.35	Facility		$554.04	$572.47	$796.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $52.63 / $70.18	Professional		$51.93	$52.63	$70.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $61.40 / $116.27	Facility		$34.00	$61.40	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $37.64 / $112.52	Professional		$22.90	$37.64	$112.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $38.60	Facility		$35.09	$35.09	$38.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $38.60	Professional		$35.09	$35.09	$38.60
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $49.13	Professional		$14.74	$21.05	$49.13