Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $8.55 / $131.13	Facility		$4.66	$8.55	$131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $83.70 / $148.84	Professional		$37.70	$83.70	$148.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $70.37	Professional		$69.34	$69.34	$70.37
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 $78.08 / $80.86 / $201.67	Professional		$78.08	$80.86	$201.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $90.08 / $144.47	Professional		$59.83	$90.08	$144.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $110.79 / $152.16	Professional		$86.01	$110.79	$152.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $8.55 / $144.41	Facility		$4.25	$8.55	$144.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $100.94 / $210.12	Professional		$9.22	$100.94	$210.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $83.88 / $113.06	Professional		$55.00	$83.88	$113.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $94.10 / $94.10	Facility		$94.10	$94.10	$94.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $112.50 / $188.10	Professional		$80.06	$112.50	$188.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $92.49	Facility		$73.68	$73.68	$92.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $89.69 / $145.66	Professional		$59.83	$89.69	$145.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $86.65 / $101.59	Facility		$86.65	$86.65	$101.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $101.59 / $101.59	Professional		$75.59	$101.59	$101.59
United Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $97.00 / $165.33	Professional		$74.59	$97.00	$165.33