Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $39.75 / $200.00	Facility		$30.58	$39.75	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $39.77 / $118.65	Professional		$30.58	$39.77	$118.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $63.86 / $63.86	Professional		$63.86	$63.86	$63.86
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 $33.85 / $39.74 / $60.56	Professional		$33.85	$39.74	$60.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $39.04 / $39.04	Facility		$32.64	$39.04	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $45.69 / $75.33	Professional		$34.60	$45.69	$75.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $54.69 / $110.67	Professional		$43.44	$54.69	$110.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $43.73 / $200.00	Facility		$38.99	$43.73	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $48.84 / $115.80	Professional		$30.58	$48.84	$115.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $38.90 / $73.90	Professional		$37.20	$38.90	$73.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $39.04 / $39.04	Facility		$32.64	$39.04	$39.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $44.87 / $76.45	Professional		$33.97	$44.87	$76.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $32.35 / $38.26	Facility		$32.35	$32.35	$38.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $32.35 / $38.26	Professional		$31.88	$32.35	$38.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $43.30 / $67.02	Professional		$32.57	$43.30	$67.02