Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $4,219.50 / $19,425.00	Facility		$40.11	$4,219.50	$19,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $38.21 / $60.52	Professional		$35.26	$38.21	$60.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $40.70 / $8,459.92	Facility		$34.75	$40.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $47.25 / $85.22	Facility		$21.40	$47.25	$85.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $1,456.77 / $17,515.20	Facility		$53.16	$1,456.77	$17,515.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $38.21 / $90.97	Professional		$35.56	$38.21	$90.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $79.84 / $86.46	Professional		$58.42	$79.84	$86.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $44.77	Facility		$40.70	$40.70	$44.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $44.77	Professional		$40.70	$40.70	$44.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $42.84 / $54.84	Professional		$38.56	$42.84	$54.84