Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $54.14 / $57.65	Facility		$51.68	$54.14	$57.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $55.34 / $67.23	Professional		$48.80	$55.34	$67.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
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 $62.68 / $91.63 / $122.28	Professional		$62.68	$91.63	$122.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $127.49 / $127.49	Facility		$127.49	$127.49	$127.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $92.06 / $128.36	Professional		$71.59	$92.06	$128.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $54.14 / $57.65	Facility		$51.68	$54.14	$57.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $57.65 / $72.39	Professional		$50.04	$57.65	$72.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $88.19 / $130.00	Professional		$58.79	$88.19	$130.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $62.02 / $71.05	Facility		$57.91	$62.02	$71.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $62.00 / $66.97	Professional		$57.91	$62.00	$66.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $73.81 / $122.27	Professional		$56.70	$73.81	$122.27