Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $58.91 / $76.31	Facility		$51.98	$58.91	$76.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $54.63 / $72.98	Professional		$29.70	$54.63	$72.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $51.86	Professional		$34.47	$34.47	$51.86
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 $56.40 / $71.70 / $125.82	Professional		$56.40	$71.70	$125.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $84.31 / $116.23	Professional		$65.56	$84.31	$116.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $15.91 / $15.91	Professional		$8.33	$15.91	$15.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $58.91 / $69.31	Facility		$51.98	$58.91	$69.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $54.88 / $73.17	Professional		$29.77	$54.88	$73.17
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $70.01 / $70.01	Professional		$70.01	$70.01	$70.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $124.80 / $156.80	Professional		$70.01	$124.80	$156.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $58.42 / $74.23	Facility		$34.71	$58.42	$74.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $57.36 / $61.84	Professional		$34.71	$57.36	$61.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $74.09 / $129.03	Professional		$57.04	$74.09	$129.03