Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $29.49 / $157.30	Facility		$19.18	$29.49	$157.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $22.44 / $40.96	Professional		$19.18	$22.44	$40.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $39.92 / $53.22	Professional		$39.92	$39.92	$53.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $36.56 / $36.56	Professional		$33.61	$36.56	$36.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $38.15 / $42.22	Facility		$36.56	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $58.38	Professional		$32.43	$32.43	$58.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $36.56 / $69.45	Professional		$33.64	$36.56	$69.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $148.60 / $213.62	Facility		$103.02	$148.60	$213.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $78.58 / $158.82	Facility		$19.18	$78.58	$158.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $22.44 / $44.96	Professional		$19.17	$22.44	$44.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.40 / $92.30	Professional		$21.60	$28.40	$92.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $38.15 / $42.22	Facility		$36.56	$38.15	$42.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $59.06	Professional		$32.43	$32.43	$59.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.03 / $42.03	Facility		$41.69	$42.03	$42.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $42.03 / $42.87	Professional		$41.55	$42.03	$42.87
United Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $64.78 / $77.73	Facility		$55.06	$64.78	$77.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $32.31 / $53.85	Professional		$21.94	$32.31	$53.85