Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $77.66 / $77.66	Facility		$63.43	$77.66	$77.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $71.79 / $166.04	Professional		$62.92	$71.79	$166.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
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 $72.12 / $89.95 / $130.55	Professional		$72.12	$89.95	$130.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Facility		$81.97	$81.97	$81.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $100.14 / $198.67	Professional		$72.68	$100.14	$198.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $77.66 / $77.66	Facility		$77.66	$77.66	$77.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $77.66 / $166.04	Professional		$59.22	$77.66	$166.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $122.40 / $174.20	Professional		$78.70	$122.40	$174.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Facility		$81.97	$81.97	$81.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $70.70 / $70.70	Facility		$61.10	$70.70	$70.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $70.70 / $73.70	Professional		$61.10	$70.70	$73.70
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $79.06 / $134.59	Professional		$61.09	$79.06	$134.59