Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $32.67 / $35.32	Facility		$30.78	$32.67	$35.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $35.64 / $58.56	Professional		$30.12	$35.64	$58.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $38.97 / $48.59	Professional		$24.20	$38.97	$48.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $35.59 / $72.58	Professional		$34.29	$35.59	$72.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $43.75 / $77.48	Professional		$32.35	$43.75	$77.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $68.54 / $68.54	Facility		$68.54	$68.54	$68.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $49.80 / $110.00	Professional		$38.15	$49.80	$110.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.89 / $99.89 / $99.89	Facility		$99.89	$99.89	$99.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $37.96 / $39.09	Professional		$29.94	$37.96	$39.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $32.67 / $33.10	Facility		$30.78	$32.67	$33.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $39.20 / $97.29	Professional		$30.78	$39.20	$97.29
Optum Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $32.33 / $37.61	Professional		$24.25	$32.33	$37.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $68.50 / $82.90	Professional		$30.62	$68.50	$82.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $44.78 / $77.69	Professional		$32.60	$44.78	$77.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $32.99 / $44.34	Facility		$30.77	$32.99	$44.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $32.93 / $42.85	Professional		$30.77	$32.93	$42.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $42.33 / $77.06	Professional		$31.07	$42.33	$77.06