Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $70.91 / $121.77	Facility		$23.47	$70.91	$121.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $24.23 / $29.27	Professional		$16.01	$24.23	$29.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $142.19 / $201.05	Facility		$102.17	$142.19	$201.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Professional		$15.80	$15.80	$15.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $47.24	Facility		$33.71	$33.71	$47.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $19.32 / $41.35	Professional		$11.97	$19.32	$41.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $27.35 / $38.49	Professional		$12.05	$27.35	$38.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $69.31	Facility		$69.31	$69.31	$69.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $43.36 / $43.36	Professional		$43.36	$43.36	$43.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $83.67 / $121.77	Facility		$30.59	$83.67	$121.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $24.28 / $69.88	Professional		$16.41	$24.28	$69.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $29.98 / $40.52	Professional		$17.22	$29.98	$40.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $47.24	Facility		$33.71	$33.71	$47.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $21.71 / $45.92	Professional		$11.97	$21.71	$45.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $28.84	Professional		$20.26	$20.26	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Facility		$20.26	$20.26	$20.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $20.26 / $31.93	Professional		$12.16	$20.26	$31.93