Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $168.93 / $192.01	Facility		$49.54	$168.93	$192.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.79 / $64.95	Professional		$4.80	$6.79	$64.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $5.36	Professional		$4.61	$4.61	$5.36
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 $54.28 / $76.63 / $101.65	Professional		$54.28	$76.63	$101.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Facility		$7.57	$7.57	$7.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Facility		$12.71	$12.71	$12.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $83.79 / $113.14	Professional		$67.48	$83.79	$113.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $144.63 / $315.89	Professional		$5.79	$144.63	$315.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $125.77 / $310.87	Facility		$6.10	$125.77	$310.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.97 / $70.76	Professional		$4.80	$7.97	$70.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.92 / $2,813.92 / $2,813.92	Facility		$2,813.92	$2,813.92	$2,813.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $75.79 / $154.40	Professional		$7.71	$75.79	$154.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Facility		$7.57	$7.57	$7.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $53.01 / $61.09	Facility		$5.27	$53.01	$61.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $52.01 / $58.06	Professional		$5.27	$52.01	$58.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $62.25 / $108.12	Professional		$48.37	$62.25	$108.12