Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $37.35 / $62.73	Facility		$22.53	$37.35	$62.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.01 / $48.34	Professional		$20.89	$25.01	$48.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $51.70 / $97.21	Professional	25	$25.11	$51.70	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $35.04 / $40.04	Professional		$25.77	$35.04	$40.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.15 / $27.62 / $33.45	Professional	25	$24.15	$27.62	$33.45
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 $27.32 / $28.35 / $50.90	Professional		$27.32	$28.35	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $30.78 / $48.91	Professional		$23.33	$30.78	$48.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $53.99 / $53.99	Facility		$53.99	$53.99	$53.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $39.95 / $55.81	Professional		$31.43	$39.95	$55.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $108.00 / $125.14	Facility		$102.00	$108.00	$125.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $30.40 / $40.22	Professional		$29.54	$30.40	$40.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $35.00 / $62.73	Facility		$22.53	$35.00	$62.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $28.91 / $57.09	Professional		$22.41	$28.91	$57.09
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $51.70 / $101.00	Professional	25	$25.11	$51.70	$101.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $29.10 / $29.10	Facility		$29.10	$29.10	$29.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $36.08 / $56.80	Professional		$29.10	$36.08	$56.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $30.92 / $49.75	Professional		$23.33	$30.92	$49.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $27.02 / $28.95	Facility		$20.78	$27.02	$28.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $26.32 / $28.26	Professional		$23.81	$26.32	$28.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $30.29 / $51.40	Professional		$24.30	$30.29	$51.40