Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $66.81 / $78.78	Facility		$66.81	$66.81	$78.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $68.92 / $86.19	Professional		$52.44	$68.92	$86.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $100.00	Professional		$78.68	$78.68	$100.00
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 $214.08 / $222.16 / $303.43	Professional		$214.08	$222.16	$303.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.88 / $399.71 / $642.49	Professional		$310.88	$399.71	$642.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $171.67 / $171.67	Professional		$171.67	$171.67	$171.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $66.81 / $78.78	Facility		$66.81	$66.81	$78.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $68.34 / $86.19	Professional		$57.75	$68.34	$86.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $268.60	Professional		$240.00	$240.00	$268.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $176.84 / $176.84	Facility		$147.35	$176.84	$176.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $176.84 / $231.98	Professional		$147.35	$176.84	$231.98
United Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $199.28 / $315.10	Professional		$121.66	$199.28	$315.10