Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $31.53 / $56.23	Facility		$28.93	$31.53	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $29.59 / $39.46	Professional		$23.11	$29.59	$39.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Professional		$32.04	$32.04	$32.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.33 / $64.66	Professional		$34.04	$35.33	$64.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.52 / $69.23	Professional		$27.30	$40.52	$69.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $46.55 / $69.66	Professional		$33.90	$46.55	$69.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $31.57 / $65.22	Facility		$27.55	$31.57	$65.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $31.71 / $52.02	Professional		$24.78	$31.71	$52.02
Optum Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $34.90 / $42.56	Professional		$25.00	$34.90	$42.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $34.90 / $40.70	Professional		$25.00	$34.90	$40.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $40.70 / $72.73	Professional		$27.69	$40.70	$72.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $33.74 / $33.74	Facility		$33.74	$33.74	$33.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $33.74 / $33.74	Professional		$33.74	$33.74	$33.74
United Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $36.15 / $57.61	Professional		$27.13	$36.15	$57.61