Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $99.07	Facility		$25.60	$25.60	$99.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $29.95 / $39.97	Professional		$24.20	$29.95	$39.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $52.87 / $52.87	Professional		$52.87	$52.87	$52.87
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 $47.36 / $62.20 / $62.20	Professional		$47.36	$62.20	$62.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $61.84	Facility		$48.99	$48.99	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $54.15	Professional		$35.76	$35.76	$54.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $61.84 / $117.50	Professional		$56.89	$61.84	$117.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.10 / $286.10 / $286.10	Facility		$286.10	$286.10	$286.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $43.54 / $49.76	Professional		$42.01	$43.54	$49.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $99.07	Facility		$25.60	$25.60	$99.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $29.95 / $94.18	Professional		$24.20	$29.95	$94.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $41.80 / $121.80	Professional		$23.80	$41.80	$121.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $61.84	Facility		$48.99	$48.99	$61.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $86.25	Professional		$35.76	$35.76	$86.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $59.20 / $59.20	Facility		$44.48	$59.20	$59.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $59.20 / $70.69	Professional		$44.48	$59.20	$70.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $31.03 / $56.11	Professional		$25.01	$31.03	$56.11