Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $22.41 / $86.73	Facility		$22.41	$22.41	$86.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $24.61 / $40.94	Professional		$22.41	$24.61	$40.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $31.65 / $45.46	Professional		$31.65	$31.65	$45.46
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 $38.22 / $50.19 / $50.19	Professional		$38.22	$50.19	$50.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $64.94	Facility		$34.77	$34.77	$64.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $65.25	Professional		$25.38	$25.38	$65.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $64.94 / $123.39	Professional		$59.74	$64.94	$123.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $35.13 / $37.64	Professional		$33.90	$35.13	$37.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $22.41 / $86.73	Facility		$22.41	$22.41	$86.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.42 / $86.73	Professional		$21.98	$25.42	$86.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $84.60 / $127.90	Professional		$43.90	$84.60	$127.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $64.94	Facility		$34.77	$34.77	$64.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $65.25	Professional		$25.38	$25.38	$65.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $47.77	Facility		$23.99	$23.99	$47.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.77 / $61.81	Professional		$23.99	$47.77	$61.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $29.79 / $43.86	Professional		$23.48	$29.79	$43.86