Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.89 / $141.94 / $224.18	Facility		$51.89	$141.94	$224.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $44.69 / $85.06	Professional		$28.16	$44.69	$85.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $50.18 / $64.92	Professional		$43.26	$50.18	$64.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $156.80 / $221.71	Facility		$112.67	$156.80	$221.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $55.51 / $92.18	Professional		$53.49	$55.51	$92.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $55.56 / $56.10	Facility		$55.56	$55.56	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $28.04 / $64.16	Professional		$16.23	$28.04	$64.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $77.64 / $103.53	Professional		$34.04	$77.64	$103.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $38.10 / $62.19	Professional		$35.61	$38.10	$62.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.89 / $141.94 / $224.18	Facility		$51.89	$141.94	$224.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $47.99 / $99.13	Professional		$28.20	$47.99	$99.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $56.60 / $97.96	Professional		$31.71	$56.60	$97.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $55.56 / $56.10	Facility		$55.56	$55.56	$56.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $32.32 / $68.11	Professional		$16.29	$32.32	$68.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $53.20 / $57.75	Professional		$34.34	$53.20	$57.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $52.63 / $86.11	Professional		$29.89	$52.63	$86.11