Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $79.23 / $101.43	Facility		$69.59	$79.23	$101.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $85.92 / $169.19	Professional		$69.59	$85.92	$169.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $161.10 / $174.93 / $319.00	Professional	25	$161.10	$174.93	$319.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $90.21 / $90.21	Professional		$90.21	$90.21	$90.21
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 $94.51 / $111.19 / $164.94	Professional		$94.51	$111.19	$164.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $100.60 / $136.44	Professional		$76.73	$100.60	$136.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $84.21 / $84.21	Professional		$84.21	$84.21	$84.21
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $97.62	Professional		$97.62	$97.62	$97.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $77.64 / $102.55	Facility		$69.59	$77.64	$102.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $93.23 / $191.04	Professional		$69.92	$93.23	$191.04
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $161.10 / $174.93 / $319.00	Professional	25	$161.10	$174.93	$319.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $87.18 / $112.82	Professional		$55.00	$87.18	$112.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $87.18 / $112.82	Professional		$55.00	$87.18	$112.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $112.18 / $228.22	Professional		$71.20	$112.18	$228.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $86.22 / $103.84	Facility		$83.71	$86.22	$103.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $86.22 / $103.84	Professional		$83.71	$86.22	$103.84
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $103.93 / $155.03	Professional		$78.93	$103.93	$155.03