Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $95.32	Facility		$24.63	$24.63	$95.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $28.30 / $36.19	Professional		$20.38	$28.30	$36.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
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 $45.57 / $59.84 / $59.84	Professional		$45.57	$59.84	$59.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $59.84	Facility		$34.22	$34.22	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $52.40	Professional		$24.98	$24.98	$52.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $59.84 / $113.70	Professional		$55.05	$59.84	$113.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $95.32	Facility		$24.63	$24.63	$95.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $28.81 / $37.83	Professional		$18.16	$28.81	$37.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $23.50 / $117.90	Professional		$21.40	$23.50	$117.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $59.84	Facility		$34.22	$34.22	$59.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $70.88	Professional		$24.98	$24.98	$70.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $56.96 / $56.96	Facility		$42.80	$56.96	$56.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $56.96 / $58.33	Professional		$42.80	$56.96	$58.33
United Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $29.86 / $49.76	Professional		$22.90	$29.86	$49.76