Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $76.84 / $163.88	Facility		$17.23	$76.84	$163.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $18.04 / $19.47	Professional		$5.48	$18.04	$19.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Professional		$14.90	$14.90	$14.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $45.79 / $8,639.91	Facility		$35.26	$45.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $15.82 / $15.82	Professional		$15.82	$15.82	$15.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $27.00 / $67.37	Facility		$13.33	$27.00	$67.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.54 / $35.54	Professional		$12.74	$23.54	$35.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.22 / $27.46	Professional		$9.33	$16.22	$27.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $50.40 / $74.30	Facility		$30.11	$50.40	$74.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $12.17	Professional		$6.50	$6.50	$12.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $55.53 / $122.58	Facility		$16.42	$55.53	$122.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.25 / $83.76	Professional		$14.60	$18.25	$83.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $267.11 / $267.11 / $267.11	Facility		$267.11	$267.11	$267.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $30.81 / $67.37	Facility		$13.58	$30.81	$67.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.54 / $35.54	Professional		$12.74	$23.54	$35.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $20.28	Facility		$20.28	$20.28	$20.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $20.28 / $20.28	Professional		$9.94	$20.28	$20.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $12.17 / $30.42	Professional		$4.29	$12.17	$30.42