Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $114.10 / $114.10	Facility		$37.09	$114.10	$114.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $47.42 / $71.27	Professional		$37.09	$47.42	$71.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $60.24 / $60.24	Professional		$60.24	$60.24	$60.24
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 $63.23 / $65.62 / $119.81	Professional		$63.23	$65.62	$119.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.76 / $84.76 / $84.76	Facility		$84.76	$84.76	$84.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $94.73 / $130.44	Professional		$73.68	$94.73	$130.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $73.11 / $114.10	Facility		$37.09	$73.11	$114.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $52.55 / $73.79	Professional		$37.09	$52.55	$73.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $133.50 / $168.00	Professional		$100.80	$133.50	$168.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $61.72 / $61.72	Facility		$38.95	$61.72	$61.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $57.88 / $65.29	Professional		$38.95	$57.88	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $70.86 / $120.93	Professional		$54.36	$70.86	$120.93