Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $45.94	Facility		$11.87	$11.87	$45.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $12.77 / $19.82	Professional		$11.49	$12.77	$19.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $22.58 / $22.58	Professional		$22.58	$22.58	$22.58
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 $20.23 / $26.57 / $26.57	Professional		$20.23	$26.57	$26.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $31.25	Facility		$18.44	$18.44	$31.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $27.37	Professional		$13.46	$13.46	$27.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $31.25 / $59.38	Professional		$28.75	$31.25	$59.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $18.94 / $18.94	Professional		$17.94	$18.94	$18.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $45.94	Facility		$11.87	$11.87	$45.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.02 / $80.93	Professional		$11.49	$13.02	$80.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $42.60 / $61.60	Professional		$21.10	$42.60	$61.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $31.25	Facility		$18.44	$18.44	$31.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $33.00	Professional		$13.46	$13.46	$33.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $12.69 / $25.29	Facility		$12.69	$12.69	$25.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $25.29 / $29.75	Professional		$12.69	$25.29	$29.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $15.77 / $23.95	Professional		$12.43	$15.77	$23.95