Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $845.21 / $2,174.04	Facility		$33.89	$845.21	$2,174.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $24.03 / $67.25	Professional		$16.85	$24.03	$67.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $20.39	Professional		$20.39	$20.39	$20.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $149.04 / $207.42 / $293.27	Facility		$149.04	$207.42	$293.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $22.43 / $38.44	Professional		$21.61	$22.43	$38.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $38.67 / $88.26	Facility		$38.67	$38.67	$88.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $25.99 / $58.11	Professional		$14.66	$25.99	$58.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $33.77 / $44.60	Professional		$14.48	$33.77	$44.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $808.50 / $2,174.04	Facility		$33.89	$808.50	$2,174.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $30.66 / $133.96	Professional		$16.85	$30.66	$133.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $40.78 / $66.70	Professional		$30.59	$40.78	$66.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $38.67 / $88.26	Facility		$38.67	$38.67	$88.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $27.16 / $64.08	Professional		$14.86	$27.16	$64.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $22.45 / $24.71	Professional		$19.41	$22.45	$24.71
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $22.43 / $40.45	Professional		$13.95	$22.43	$40.45