Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $32.57 / $200.00	Facility		$27.17	$32.57	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $26.33 / $68.00	Professional		$21.14	$26.33	$68.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $33.02 / $43.14	Professional		$21.57	$33.02	$43.14
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 $20.17 / $23.73 / $39.38	Professional		$20.17	$23.73	$39.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $30.70 / $48.62	Professional		$22.20	$30.70	$48.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $49.27 / $49.27	Facility		$49.27	$49.27	$49.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $32.85 / $60.69	Professional		$25.11	$32.85	$60.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $32.96 / $55.25	Professional		$23.98	$32.96	$55.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $34.61 / $200.00	Facility		$30.58	$34.61	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $30.08 / $64.31	Professional		$22.12	$30.08	$64.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.00 / $60.10	Professional		$26.30	$31.00	$60.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $30.70 / $53.08	Professional		$22.20	$30.70	$53.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $22.93 / $26.72	Facility		$22.93	$22.93	$26.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $22.93 / $26.72	Professional		$22.37	$22.93	$26.72
United Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $30.60 / $48.75	Professional		$22.93	$30.60	$48.75