Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $24.67 / $1,359.00	Facility		$20.62	$24.67	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $28.51 / $105.00	Professional		$17.25	$28.51	$105.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $24.28 / $33.36	Professional		$17.11	$24.28	$33.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.54 / $62.05	Professional		$18.14	$22.54	$62.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $29.04 / $48.53	Professional		$17.61	$29.04	$48.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $39.08 / $39.08	Facility		$39.08	$39.08	$39.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.11 / $47.95	Professional		$19.98	$26.11	$47.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $77.40 / $118.50	Facility		$77.40	$77.40	$118.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $40.60 / $56.80	Professional		$18.47	$40.60	$56.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $102.89 / $200.00	Facility		$20.62	$102.89	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $30.31 / $99.00	Professional		$18.28	$30.31	$99.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $34.60 / $54.50	Professional		$25.95	$34.60	$54.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $28.41 / $49.61	Professional		$17.61	$28.41	$49.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $17.95 / $17.95	Facility		$17.95	$17.95	$17.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.95 / $18.57	Professional		$17.55	$17.95	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $31.87 / $49.74	Professional		$22.58	$31.87	$49.74