Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $47.36 / $550.94	Facility		$47.36	$47.36	$550.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $55.42 / $103.82	Professional		$34.94	$55.42	$103.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $138.10 / $138.10	Professional		$66.31	$138.10	$138.10
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 $87.62 / $115.08 / $115.08	Professional		$87.62	$115.08	$115.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $138.94	Facility		$65.81	$65.81	$138.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $100.76	Professional		$48.04	$48.04	$100.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $115.08 / $218.65	Professional		$105.87	$115.08	$218.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $82.01 / $92.07	Professional		$77.70	$82.01	$92.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $183.28 / $550.94	Facility		$47.36	$183.28	$550.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $58.28 / $94.21	Professional		$34.94	$58.28	$94.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $56.80 / $226.70	Professional		$43.20	$56.80	$226.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $138.94	Facility		$65.81	$65.81	$138.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $136.50	Professional		$48.04	$48.04	$136.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $109.53 / $109.53	Facility		$74.59	$109.53	$109.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $109.53 / $112.21	Professional		$74.59	$109.53	$112.21
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $140.44 / $168.53	Facility		$119.37	$140.44	$168.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $57.41 / $100.54	Professional		$43.79	$57.41	$100.54