Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $43.57 / $69.16	Facility		$43.57	$43.57	$69.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $43.57 / $67.65	Professional		$27.60	$43.57	$67.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $83.45 / $88.85	Professional		$46.65	$83.45	$88.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $88.85 / $88.85	Professional		$66.64	$88.85	$88.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $71.75	Professional		$43.41	$43.41	$71.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $88.85 / $168.82	Professional		$81.73	$88.85	$168.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $53.90 / $62.86	Facility		$52.85	$53.90	$62.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $69.42 / $74.64	Professional		$65.81	$69.42	$74.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $69.16 / $299.94	Facility		$43.57	$69.16	$299.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $54.46 / $71.08	Professional		$27.60	$54.46	$71.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $39.00 / $175.10	Professional		$29.70	$39.00	$175.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $103.13	Professional		$43.41	$43.41	$103.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $84.57 / $84.57	Facility		$57.03	$84.57	$84.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $84.57 / $84.57	Professional		$57.03	$84.57	$84.57
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $48.02 / $77.62	Professional		$39.04	$48.02	$77.62