Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $156.47 / $184.42	Facility		$8.64	$156.47	$184.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $174.77 / $537.29	Professional		$107.31	$174.77	$537.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $130.41 / $217.95	Professional		$130.41	$130.41	$217.95
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 $140.02 / $145.21 / $145.21	Professional		$140.02	$145.21	$145.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $187.17 / $277.80	Professional		$129.65	$187.17	$277.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $199.44 / $372.30	Professional		$136.21	$199.44	$372.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $16.14 / $207.12	Facility		$8.64	$16.14	$207.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $182.42 / $433.79	Professional		$21.50	$182.42	$433.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $186.91 / $208.71	Professional		$66.15	$186.91	$208.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $278.39 / $402.20	Professional		$128.00	$278.39	$402.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $184.55 / $301.95	Professional		$129.65	$184.55	$301.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $183.45 / $183.45 / $183.45	Facility		$183.45	$183.45	$183.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $183.45 / $183.45	Professional		$139.32	$183.45	$183.45
United Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $178.16 / $281.91	Professional		$139.79	$178.16	$281.91