Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $110.29 / $136.11	Facility		$30.10	$110.29	$136.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $27.14 / $89.39	Professional		$20.30	$27.14	$89.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $49.78 / $49.78	Professional		$49.78	$49.78	$49.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $128.27 / $8,459.92	Facility		$96.26	$128.27	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $34.99 / $59.55	Professional		$33.72	$34.99	$59.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $35.39 / $90.08	Facility		$21.92	$35.39	$90.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $17.17 / $45.84	Professional		$12.63	$17.17	$45.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $48.16 / $63.85	Professional		$21.17	$48.16	$63.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $50.05 / $287.00	Facility		$28.42	$50.05	$287.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $37.40 / $501.15	Professional		$37.40	$37.40	$501.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $89.10 / $136.11	Facility		$30.10	$89.10	$136.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $55.81 / $231.22	Professional		$22.90	$55.81	$231.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $50.51 / $68.66	Professional		$32.40	$50.51	$68.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $39.68 / $72.98	Facility		$22.09	$39.68	$72.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $21.43 / $48.84	Professional		$12.95	$21.43	$48.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $31.51 / $31.51	Facility		$31.51	$31.51	$31.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $31.51 / $33.11	Professional		$27.72	$31.51	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $33.67 / $58.21	Professional		$18.52	$33.67	$58.21