Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $148.33 / $21,945.46	Facility		$62.10	$148.33	$21,945.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $78.23	Professional		$62.10	$62.71	$78.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $63.39 / $63.39	Professional		$63.39	$63.39	$63.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $67.37 / $8,459.92	Facility		$57.51	$67.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $64.44 / $64.44	Professional		$64.44	$64.44	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $62.10	Facility		$58.58	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $64.44	Professional		$62.10	$62.10	$64.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $67.37 / $84.07	Professional		$64.44	$67.37	$84.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $184.35 / $240.14	Facility		$154.55	$184.35	$240.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $148.33 / $21,945.46	Facility		$64.02	$148.33	$21,945.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $64.02 / $155.94	Professional		$62.10	$64.02	$155.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $93.15 / $161.19	Professional		$27.40	$93.15	$161.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $62.10	Facility		$58.58	$62.10	$62.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $68.01	Professional		$62.10	$62.10	$68.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $80.14	Facility		$69.06	$69.06	$80.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $80.14	Professional		$69.06	$69.06	$80.14
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $89.94	Professional		$62.10	$65.83	$89.94