Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $229.09	Professional		$12.02	$30.20	$229.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $257.04	Professional		$218.78	$245.47	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $263.03	Professional		$89.13	$199.53	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $251.19	Professional		$199.53	$208.93	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $309.03	Professional		$72.44	$117.49	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $331.13	Professional		$54.95	$63.10	$331.13