Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $34.03 / $1,359.00	Facility		$28.89	$34.03	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $27.34 / $71.34	Professional		$22.82	$27.34	$71.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $30.90 / $38.45	Professional		$21.97	$30.90	$38.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $25.98 / $47.43	Professional		$22.08	$25.98	$47.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $32.29 / $53.56	Professional		$24.00	$32.29	$53.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $54.73 / $54.73	Facility		$54.73	$54.73	$54.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $36.71 / $68.17	Professional		$27.48	$36.71	$68.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $115.50 / $200.00	Facility		$28.89	$115.50	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $34.04 / $70.93	Professional		$23.80	$34.04	$70.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $43.50 / $63.70	Professional		$28.60	$43.50	$63.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $32.43 / $55.82	Professional		$24.00	$32.43	$55.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $24.77 / $24.77	Facility		$24.77	$24.77	$24.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.77 / $25.83	Professional		$24.09	$24.77	$25.83
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $32.29 / $50.05	Professional		$24.23	$32.29	$50.05