Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $41.15 / $94.80	Facility		$9.25	$41.15	$94.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.80 / $8.98	Professional		$8.01	$8.80	$8.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $64.72 / $8,639.91	Facility		$49.84	$64.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $7.71 / $7.71	Professional		$7.71	$7.71	$7.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $13.17 / $32.60	Facility		$6.50	$13.17	$32.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.56 / $17.35	Professional		$6.21	$11.56	$17.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.91 / $13.39	Professional		$4.55	$7.91	$13.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $25.79 / $85.71	Facility		$14.88	$25.79	$85.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $9.50 / $9.50	Professional		$5.93	$9.50	$9.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $30.26 / $98.58	Facility		$8.41	$30.26	$98.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.84 / $28.09	Professional		$7.30	$8.84	$28.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $914.01 / $916.30 / $1,207.33	Facility		$914.01	$916.30	$1,207.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $15.02 / $32.60	Facility		$6.62	$15.02	$32.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.56 / $17.35	Professional		$6.21	$11.56	$17.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Facility		$9.89	$9.89	$9.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.89 / $14.07	Professional		$8.69	$9.89	$14.07
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.49 / $18.79	Professional		$4.45	$6.49	$18.79