Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $12.57 / $30.57	Facility		$2.57	$12.57	$30.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.70 / $5.38	Professional		$2.48	$2.70	$5.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $19.73 / $8,639.91	Facility		$15.20	$19.73	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Professional		$2.36	$2.36	$2.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $4.01 / $9.77	Facility		$1.99	$4.01	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.44 / $5.08	Professional		$1.86	$3.44	$5.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.42 / $4.09	Professional		$1.39	$2.42	$4.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $8.02 / $15.94	Facility		$4.20	$8.02	$15.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.41 / $3.00	Professional		$1.81	$2.41	$3.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $8.58 / $19.20	Facility		$2.56	$8.58	$19.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.71 / $5.46	Professional		$2.36	$2.71	$5.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $149.97 / $208.65	Facility		$145.16	$149.97	$208.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $4.51 / $9.77	Facility		$2.02	$4.51	$9.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.44 / $5.08	Professional		$1.86	$3.44	$5.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.02 / $4.28	Professional		$2.66	$3.02	$4.28
United Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.85 / $5.53	Professional		$1.27	$1.85	$5.53