Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $65.94 / $92.18	Facility		$18.23	$65.94	$92.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.23 / $44.20	Professional		$14.53	$18.23	$44.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $23.51 / $34.44	Professional		$8.56	$23.51	$34.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $78.01 / $8,459.92	Facility		$58.54	$78.01	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $24.05 / $43.11	Professional		$23.17	$24.05	$43.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $21.77 / $60.17	Facility		$12.12	$21.77	$60.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $19.09 / $42.71	Professional		$9.09	$19.09	$42.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $32.95 / $43.97	Professional		$14.54	$32.95	$43.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $56.47 / $106.44	Facility		$37.97	$56.47	$106.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.30 / $25.92	Professional		$19.04	$21.30	$25.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $54.18 / $92.18	Facility		$18.92	$54.18	$92.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $27.36 / $77.81	Professional		$14.97	$27.36	$77.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $30.59 / $43.35	Professional		$16.32	$30.59	$43.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $23.84 / $60.17	Facility		$12.12	$23.84	$60.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $19.80 / $42.71	Professional		$9.09	$19.80	$42.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $18.84 / $39.83	Facility		$15.76	$18.84	$39.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.22 / $39.83	Professional		$15.76	$22.22	$39.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $24.69 / $49.21	Professional		$14.11	$24.69	$49.21