Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $123.49	Facility		$31.91	$31.91	$123.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $37.34 / $76.09	Professional		$31.91	$37.34	$76.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $58.16 / $65.91	Professional		$58.16	$58.16	$65.91
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 $59.04 / $77.54 / $77.54	Professional		$59.04	$77.54	$77.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $82.76	Facility		$48.98	$48.98	$82.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $72.47	Professional		$35.76	$35.76	$72.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $82.76 / $157.24	Professional		$76.14	$82.76	$157.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.93 / $354.93 / $354.93	Facility		$354.93	$354.93	$354.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $53.32 / $58.16	Professional		$52.35	$53.32	$58.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $123.49	Facility		$31.91	$31.91	$123.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $40.06 / $132.41	Professional		$31.91	$40.06	$132.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $56.00 / $163.10	Professional		$31.80	$56.00	$163.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $82.76	Facility		$48.98	$48.98	$82.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $87.75	Professional		$35.76	$35.76	$87.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $73.80 / $73.80	Facility		$49.80	$73.80	$73.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $73.80 / $78.77	Professional		$49.80	$73.80	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $38.84 / $69.91	Professional		$31.30	$38.84	$69.91