Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $79.62 / $142.74	Facility		$24.89	$79.62	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.51 / $28.69	Professional		$21.96	$25.51	$28.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $145.90 / $8,639.91	Facility		$112.36	$145.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $22.84 / $22.84	Professional		$22.84	$22.84	$22.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $38.06 / $85.64	Facility		$19.25	$38.06	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $32.90 / $43.93	Professional		$13.98	$32.90	$43.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.28 / $39.65	Professional		$13.47	$17.28	$39.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $75.28 / $136.86	Facility		$41.53	$75.28	$136.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $18.00 / $18.00	Professional		$17.79	$18.00	$18.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $76.73 / $142.74	Facility		$24.89	$76.73	$142.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $25.51 / $45.07	Professional		$21.35	$25.51	$45.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $310.64 / $315.20 / $505.25	Facility		$310.64	$315.20	$505.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $45.56 / $96.71	Facility		$19.03	$45.56	$96.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $32.90 / $42.33	Professional		$13.98	$32.90	$42.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $35.78	Facility		$29.28	$29.28	$35.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $29.28 / $35.78	Professional		$25.77	$29.28	$35.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.39 / $53.58	Professional		$12.30	$19.39	$53.58