Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $59.25 / $190.80	Facility		$16.78	$59.25	$190.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $16.12 / $16.79	Professional		$15.60	$16.12	$16.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Professional		$11.85	$11.85	$11.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $118.27 / $8,639.91	Facility		$91.08	$118.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $25.68 / $65.20	Facility		$12.98	$25.68	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $22.72 / $31.74	Professional		$11.34	$22.72	$31.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $15.80 / $26.74	Professional		$9.09	$15.80	$26.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $60.74 / $195.48	Facility		$33.46	$60.74	$195.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $17.50	Professional		$11.85	$11.85	$17.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $53.70 / $258.50	Facility		$16.79	$53.70	$258.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.23 / $81.56	Professional		$14.22	$16.23	$81.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $278.52 / $337.70 / $411.27	Facility		$278.52	$337.70	$411.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $27.42 / $65.20	Facility		$13.23	$27.42	$65.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $22.72 / $31.74	Professional		$11.34	$22.72	$31.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $19.75	Facility		$19.75	$19.75	$19.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.75 / $25.71	Professional		$17.38	$19.75	$25.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $12.60 / $36.14	Professional		$8.30	$12.60	$36.14