Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $210.54 / $608.85	Facility		$45.77	$210.54	$608.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $25.00	Professional		$19.00	$19.57	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $36.43 / $42.50	Professional		$33.27	$36.43	$42.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $24.30	Professional		$24.30	$24.30	$24.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $29.82 / $69.00	Professional		$21.00	$29.82	$69.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $25.74 / $25.74	Facility		$25.74	$25.74	$25.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $19.30 / $25.74	Professional		$18.39	$19.30	$25.74
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $51.15 / $51.15	Professional		$48.59	$51.15	$51.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $210.54 / $608.85	Facility		$32.09	$210.54	$608.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.70 / $25.00	Professional		$19.00	$19.70	$25.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $33.02 / $33.02	Professional		$33.02	$33.02	$33.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $20.80	Professional		$18.20	$18.20	$20.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $29.00 / $69.00	Professional		$21.00	$29.00	$69.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $52.77 / $89.33	Professional		$41.42	$52.77	$89.33