Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.95 / $125.20	Professional		$60.04	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $34.00 / $40.00	Professional		$30.00	$34.00	$40.00
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 $216.50 / $254.71 / $254.71	Professional		$216.50	$254.71	$254.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $202.00 / $246.71	Professional		$90.00	$202.00	$246.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.95 / $144.41	Professional		$60.04	$84.95	$144.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $200.40 / $200.40	Facility		$200.40	$200.40	$200.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $230.50	Professional		$200.40	$200.40	$230.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $202.00 / $261.05	Professional		$90.00	$202.00	$261.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $117.12 / $117.12	Facility		$117.12	$117.12	$117.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $117.12 / $117.12	Professional		$117.12	$117.12	$117.12
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00