Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $112.17 / $149.57	Facility		$102.40	$112.17	$149.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $123.62 / $237.76	Professional		$102.40	$123.62	$237.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.00 / $162.88 / $165.46	Professional	25	$127.00	$162.88	$165.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Professional		$128.72	$128.72	$128.72
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 $125.04 / $147.11 / $245.34	Professional		$125.04	$147.11	$245.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $143.66 / $194.71	Professional		$98.77	$143.66	$194.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $107.52 / $149.57	Facility		$102.40	$107.52	$149.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $136.38 / $258.35	Professional		$103.21	$136.38	$258.35
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $127.00 / $162.88 / $165.46	Professional	25	$127.00	$162.88	$165.46
Optum Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $129.59 / $167.71	Professional		$75.00	$129.59	$167.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $129.59 / $167.71	Professional		$75.00	$129.59	$167.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $162.65 / $208.04	Professional		$89.04	$162.65	$208.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $127.47 / $149.41	Facility		$123.62	$127.47	$149.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $127.47 / $149.41	Professional		$123.62	$127.47	$149.41
United Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $146.33 / $228.86	Professional		$108.25	$146.33	$228.86