Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $50.18 / $189.48	Facility		$29.84	$50.18	$189.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $29.84 / $80.80	Professional		$23.76	$29.84	$80.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $38.72 / $47.58	Professional		$23.90	$38.72	$47.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $28.35 / $29.25	Professional		$23.38	$28.35	$29.25
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 $22.24 / $26.17 / $43.27	Professional		$22.24	$26.17	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $33.86 / $53.55	Professional		$24.48	$33.86	$53.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $54.33 / $54.33	Facility		$54.33	$54.33	$54.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $36.20 / $66.84	Professional		$27.70	$36.20	$66.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $36.03 / $37.11	Professional		$26.04	$36.03	$37.11
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $28.35 / $29.25	Professional		$23.38	$28.35	$29.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $50.18 / $200.00	Facility		$29.84	$50.18	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $34.10 / $80.80	Professional		$24.69	$34.10	$80.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $34.00 / $66.00	Professional		$28.90	$34.00	$66.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $33.86 / $58.29	Professional		$24.48	$33.86	$58.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $29.36	Facility		$25.26	$25.26	$29.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $25.26 / $29.36	Professional		$24.65	$25.26	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $33.58 / $51.33	Professional		$24.23	$33.58	$51.33