Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $18,469.78 / $30,612.90	Facility		$55.57	$18,469.78	$30,612.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $9,347.40	Professional		$55.57	$56.11	$9,347.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $41.67 / $41.67	Professional		$41.67	$41.67	$41.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $60.28 / $8,459.92	Facility		$51.46	$60.28	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $55.57	Facility		$52.42	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $57.24	Professional		$55.57	$55.57	$57.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $60.28 / $70.48	Professional		$57.66	$60.28	$70.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $113.59 / $158.11	Facility		$51.40	$113.59	$158.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.80 / $60.95	Professional		$58.00	$58.80	$60.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $12,507.21 / $31,143.40	Facility		$55.57	$12,507.21	$31,143.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $57.40 / $10,241.64	Professional		$55.21	$57.40	$10,241.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $83.30 / $101.30	Professional		$27.40	$83.30	$101.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $55.57	Facility		$52.42	$55.57	$55.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $57.66	Professional		$55.57	$55.57	$57.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $46.79 / $54.29	Facility		$46.79	$46.79	$54.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $46.79 / $54.29	Professional		$46.79	$46.79	$54.29
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $71.81	Professional		$55.57	$58.90	$71.81