Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $29.48 / $36.29	Facility		$28.59	$29.48	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $31.68 / $78.54	Professional		$25.86	$31.68	$78.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $51.02 / $58.04	Professional		$33.92	$51.02	$58.04
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 $32.03 / $33.24 / $52.97	Professional		$32.03	$33.24	$52.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Facility		$67.06	$67.06	$67.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $47.05 / $65.51	Professional		$36.59	$47.05	$65.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $35.72 / $53.06	Professional		$30.18	$35.72	$53.06
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $31.48 / $31.48 / $31.48	Professional	25	$31.48	$31.48	$31.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $29.48 / $35.11	Facility		$28.59	$29.48	$35.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $36.86 / $96.96	Professional		$27.92	$36.86	$96.96
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $36.33 / $42.48	Professional		$33.50	$36.33	$42.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $42.00 / $64.58	Professional		$31.73	$42.00	$64.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $31.38 / $35.93	Facility		$30.44	$31.38	$35.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $31.38 / $34.85	Professional		$30.44	$31.38	$34.85
United Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $37.00 / $63.32	Professional		$29.10	$37.00	$63.32