Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $25.71 / $1,359.00	Facility		$23.24	$25.71	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $23.73 / $28.69	Professional		$21.57	$23.73	$28.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $21.15 / $34.13	Professional		$20.86	$21.15	$34.13
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 $24.19 / $25.10 / $46.16	Professional		$24.19	$25.10	$46.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $30.15 / $49.11	Professional		$23.68	$30.15	$49.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.19 / $52.19 / $52.19	Facility		$52.19	$52.19	$52.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $33.97 / $45.22	Professional		$26.57	$33.97	$45.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.32 / $26.78	Professional		$25.08	$25.32	$26.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $25.71 / $1,812.00	Facility		$25.71	$25.71	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $24.83 / $44.17	Professional		$21.98	$24.83	$44.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $31.10 / $31.10	Facility		$31.10	$31.10	$31.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $40.04 / $50.88	Professional		$27.74	$40.04	$50.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $29.71 / $49.11	Professional		$23.48	$29.71	$49.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Facility		$23.93	$23.93	$23.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $23.93 / $24.77	Professional		$23.35	$23.93	$24.77
United Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $25.62 / $27.95	Facility		$23.29	$25.62	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.83 / $43.39	Professional		$21.00	$26.83	$43.39