Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $63.18 / $8,086.68	Facility		$25.77	$63.18	$8,086.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.01 / $35.38	Professional		$25.77	$26.01	$35.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.44 / $8,459.92	Facility		$23.43	$27.44	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Professional		$26.24	$26.24	$26.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $25.77	Facility		$20.23	$25.77	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.28 / $42.06	Professional		$23.28	$23.28	$42.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $68.45 / $110.60	Facility		$16.38	$68.45	$110.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $52.17 / $3,674.59	Facility		$24.17	$52.17	$3,674.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.02 / $72.75	Professional		$24.17	$26.02	$72.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $38.70 / $113.80	Professional		$27.40	$38.70	$113.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $25.77	Facility		$20.23	$25.77	$25.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $33.69 / $39.10	Facility		$33.69	$33.69	$39.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $33.69 / $39.10	Professional		$33.69	$33.69	$39.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $44.41	Professional		$25.77	$27.32	$44.41