Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $106.56 / $279.83	Facility		$28.20	$106.56	$279.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $23.87 / $30.80	Professional		$14.18	$23.87	$30.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $135.01 / $175.32 / $8,639.91	Facility		$135.01	$175.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $35.67 / $89.10	Facility		$17.60	$35.67	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $30.98 / $46.97	Professional		$16.77	$30.98	$46.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $21.42 / $36.26	Professional		$12.32	$21.42	$36.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $90.35 / $290.68	Facility		$45.37	$90.35	$290.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.77 / $25.50	Professional		$16.07	$22.77	$25.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $106.32 / $296.27	Facility		$28.20	$106.32	$296.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.97 / $92.40	Professional		$20.89	$23.97	$92.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $693.83 / $693.83 / $872.87	Facility		$693.83	$693.83	$872.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $40.67 / $89.10	Facility		$17.93	$40.67	$89.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $30.98 / $46.97	Professional		$16.77	$30.98	$46.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $26.78	Facility		$26.78	$26.78	$26.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $26.78 / $38.11	Professional		$23.57	$26.78	$38.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.59 / $46.91	Professional		$12.05	$17.59	$46.91