Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $307.23 / $761.84	Facility		$25.23	$307.23	$761.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.18 / $114.00	Professional		$31.54	$39.18	$114.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $65.89 / $83.75	Professional		$25.81	$65.89	$83.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Professional		$51.45	$51.45	$51.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $69.66 / $74.59	Professional		$54.02	$69.66	$74.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $127.12 / $432.08	Facility		$56.13	$127.12	$432.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $74.53	Professional		$74.53	$74.53	$74.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $380.92 / $761.84	Facility		$25.23	$380.92	$761.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $45.10 / $97.18	Professional		$31.54	$45.10	$97.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $76.70 / $101.40	Professional		$63.30	$76.70	$101.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $48.97 / $48.97	Facility		$30.15	$48.97	$48.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $48.97 / $48.97	Professional		$30.15	$48.97	$48.97
United Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $25.66 / $42.77	Professional		$17.11	$25.66	$42.77