Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $32.88 / $1,359.00	Facility		$27.53	$32.88	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $27.53 / $77.36	Professional		$22.98	$27.53	$77.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $32.03 / $33.78	Professional		$21.04	$32.03	$33.78
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 $23.87 / $29.65 / $59.45	Professional		$23.87	$29.65	$59.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $31.51 / $51.05	Professional		$23.17	$31.51	$51.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $34.29 / $63.35	Professional		$26.21	$34.29	$63.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $126.75 / $413.40	Professional		$58.18	$126.75	$413.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $53.90 / $200.00	Facility		$27.53	$53.90	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $35.17 / $77.36	Professional		$23.61	$35.17	$77.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $45.70 / $60.80	Professional		$34.77	$45.70	$60.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $31.52 / $53.77	Professional		$23.17	$31.52	$53.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Facility		$23.61	$23.61	$23.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.61 / $24.42	Professional		$23.03	$23.61	$24.42
United Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $31.18 / $48.85	Professional		$23.00	$31.18	$48.85