Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $27.13 / $104.99	Facility		$27.13	$27.13	$104.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $31.75 / $52.53	Professional		$25.58	$31.75	$52.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $56.48 / $56.48	Professional		$56.48	$56.48	$56.48
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 $47.58 / $51.73 / $51.73	Professional		$47.58	$51.73	$51.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $52.17 / $52.17	Facility		$51.73	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $67.13	Professional		$44.34	$44.34	$67.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $51.73 / $98.29	Professional		$47.59	$51.73	$98.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $49.14 / $61.89	Professional		$49.14	$49.14	$61.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $27.13 / $104.99	Facility		$27.13	$27.13	$104.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $31.75 / $52.53	Professional		$19.47	$31.75	$52.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $129.90	Professional		$35.90	$35.90	$129.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $52.17 / $52.17	Facility		$51.73	$52.17	$52.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $67.13	Professional		$44.34	$44.34	$67.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $59.48 / $66.70	Facility		$59.48	$59.48	$66.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $59.48 / $66.70	Professional		$58.79	$59.48	$66.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $46.18 / $76.20	Professional		$31.04	$46.18	$76.20