Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $189.00 / $784.00	Facility		$38.40	$189.00	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $83.83 / $157.72	Professional		$38.40	$83.83	$157.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $5,000.00 / $77,850.02	Facility		$655.00	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $126.42 / $214.01	Professional		$121.83	$126.42	$214.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $431.71 / $847.84	Facility		$71.19	$431.71	$847.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $121.98 / $228.77	Professional		$45.10	$121.98	$228.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Facility		$96.35	$96.35	$96.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $191.73 / $253.39	Professional		$146.88	$191.73	$253.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $209.61 / $751.00	Facility		$51.84	$209.61	$751.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $112.01 / $235.07	Professional		$41.48	$112.01	$235.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Facility		$130.40	$130.40	$130.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $158.40 / $360.00	Professional		$82.94	$158.40	$360.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $333.48 / $847.84	Facility		$71.19	$333.48	$847.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $121.98 / $230.19	Professional		$45.57	$121.98	$230.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $44.28 / $138.62	Facility		$43.50	$44.28	$138.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $123.84 / $135.97	Professional		$43.49	$123.84	$135.97
United Facility/Professional Facility Modifier Low / Median / High Price $318.98 / $550.53 / $715.93	Facility		$318.98	$550.53	$715.93
United Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $136.75 / $223.01	Professional		$105.35	$136.75	$223.01