Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $66.15 / $825.93	Facility		$20.35	$66.15	$825.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $34.21	Professional		$20.35	$20.55	$34.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $22.08 / $8,459.92	Facility		$18.85	$22.08	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $21.12 / $21.12	Professional		$21.12	$21.12	$21.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $20.35	Facility		$19.20	$20.35	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $23.04	Professional		$20.35	$20.35	$23.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $22.08 / $30.55	Professional		$21.12	$22.08	$30.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $158.00 / $1,415.65	Facility		$56.84	$158.00	$1,415.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $70.11 / $825.93	Facility		$28.55	$70.11	$825.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $26.45 / $85.94	Professional		$20.35	$26.45	$85.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $42.60 / $114.00	Professional		$27.40	$42.60	$114.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $20.35	Facility		$19.20	$20.35	$20.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.91	Professional		$20.35	$20.35	$25.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $51.60	Facility		$44.47	$44.47	$51.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.47 / $51.60	Professional		$44.47	$44.47	$51.60
United Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.27 / $34.49	Facility		$28.27	$28.27	$34.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $35.07	Professional		$20.35	$21.57	$35.07