Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $654.67	Facility		$35.72	$35.72	$654.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $37.83 / $51.81	Professional		$31.31	$37.83	$51.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Professional		$67.98	$67.98	$67.98
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 $60.91 / $79.98 / $79.98	Professional		$60.91	$79.98	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $79.98	Facility		$51.74	$51.74	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $92.63	Professional		$37.77	$37.77	$92.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $79.98 / $151.97	Professional		$73.59	$79.98	$151.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.99 / $55.99	Professional		$55.01	$55.99	$55.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $138.28 / $654.67	Facility		$35.72	$138.28	$654.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $39.06 / $112.08	Professional		$31.30	$39.06	$112.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $109.10 / $157.60	Professional		$54.10	$109.10	$157.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $79.98	Facility		$51.74	$51.74	$79.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $92.63	Professional		$37.77	$37.77	$92.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $76.14	Facility		$38.22	$38.22	$76.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $76.14 / $76.14	Professional		$38.22	$76.14	$76.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $44.56 / $69.89	Professional		$37.57	$44.56	$69.89