Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $82.02 / $690.20	Facility		$26.63	$82.02	$690.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.57 / $17.48 / $22.22	Facility	52	$5.57	$17.48	$22.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $38.76 / $155.19	Professional		$11.13	$38.76	$155.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.47 / $15.77 / $22.58	Professional	52	$5.47	$15.77	$22.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $22.12 / $66.50	Professional		$17.07	$22.12	$66.50
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 $35.25 / $51.49 / $72.28	Professional		$35.25	$51.49	$72.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $36.97 / $70.53	Professional		$12.72	$36.97	$70.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $56.49 / $114.31	Professional		$44.98	$56.49	$114.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $213.11 / $581.07	Facility		$64.04	$213.11	$581.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $295.47 / $774.78	Facility		$29.86	$295.47	$774.78
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $5.57 / $17.48 / $41.71	Facility	52	$5.57	$17.48	$41.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $39.78 / $135.66	Professional		$11.16	$39.78	$135.66
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $5.53 / $15.77 / $27.52	Professional	52	$5.53	$15.77	$27.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $861.50 / $1,082.45 / $2,172.60	Facility		$861.50	$1,082.45	$2,172.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $45.10 / $80.70	Professional		$45.10	$45.10	$80.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $37.79 / $70.25	Professional		$12.72	$37.79	$70.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $13.27 / $42.65	Facility		$11.28	$13.27	$42.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $35.11 / $38.50	Professional		$11.28	$35.11	$38.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $47.25 / $76.34	Professional		$38.77	$47.25	$76.34