Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $50.82 / $284.01	Facility		$15.24	$50.82	$284.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $45.00 / $120.00	Professional		$15.00	$45.00	$120.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $99.30 / $8,639.91	Facility		$76.47	$99.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $23.87 / $52.43	Facility		$12.00	$23.87	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $20.65 / $26.88	Professional		$9.63	$20.65	$26.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $10.58 / $24.28	Professional		$3.69	$10.58	$24.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $46.38 / $82.07	Facility		$16.00	$46.38	$82.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $15.30 / $17.00	Professional		$13.88	$15.30	$17.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $49.08 / $284.01	Facility		$15.24	$49.08	$284.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $16.51 / $95.93	Professional		$13.99	$16.51	$95.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,055.38 / $1,057.67 / $1,385.16	Facility		$1,055.38	$1,057.67	$1,385.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $28.97 / $59.76	Facility		$12.53	$28.97	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $20.28 / $26.23	Professional		$9.63	$20.28	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $24.35	Facility		$17.93	$17.93	$24.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $17.93 / $24.35	Professional		$15.78	$17.93	$24.35
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.48 / $32.81	Professional		$8.07	$11.48	$32.81