Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $31.65 / $60.18	Facility		$24.37	$31.65	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $36.56 / $86.92	Professional		$24.62	$36.56	$86.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $40.11 / $40.11	Professional		$32.50	$40.11	$40.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
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 $39.35 / $43.55 / $76.42	Professional		$39.35	$43.55	$76.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $44.54 / $68.89	Professional		$30.56	$44.54	$68.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $64.83	Facility		$64.83	$64.83	$64.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $58.75 / $80.83	Professional		$45.70	$58.75	$80.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $41.07 / $53.34	Professional		$37.79	$41.07	$53.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $31.65 / $60.18	Facility		$24.37	$31.65	$60.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $41.84 / $106.14	Professional		$26.75	$41.84	$106.14
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $102.30	Professional		$50.10	$50.10	$102.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $43.89 / $69.45	Professional		$30.56	$43.89	$69.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $38.34 / $45.09	Facility		$29.49	$38.34	$45.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $37.51 / $40.38	Professional		$29.49	$37.51	$40.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $47.14 / $81.11	Professional		$34.84	$47.14	$81.11