Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $51.64	Facility		$32.53	$32.53	$51.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $38.52 / $51.64	Professional		$18.70	$38.52	$51.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $39.50	Professional		$39.50	$39.50	$39.50
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 $50.51 / $66.33 / $66.33	Professional		$50.51	$66.33	$66.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $77.73	Facility		$39.86	$39.86	$77.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $49.23	Professional		$33.88	$33.88	$49.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $66.33 / $126.03	Professional		$61.02	$66.33	$126.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.43 / $237.43 / $237.43	Facility		$237.43	$237.43	$237.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $113.54 / $119.22	Professional		$46.43	$113.54	$119.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $51.64	Facility		$32.53	$32.53	$51.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $37.25 / $58.09	Professional		$18.70	$37.25	$58.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $94.60 / $130.69	Professional		$82.30	$94.60	$130.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $77.73	Facility		$39.86	$39.86	$77.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $76.88	Professional		$33.88	$33.88	$76.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $63.14 / $63.14	Facility		$47.43	$63.14	$63.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $63.14 / $63.14	Professional		$47.43	$63.14	$63.14
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $33.10 / $59.82	Professional		$23.28	$33.10	$59.82