Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $20.21 / $533.00	Facility		$19.82	$20.21	$533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $21.58 / $67.12	Professional		$17.53	$21.58	$67.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $31.91 / $34.64	Professional		$26.45	$31.91	$34.64
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 $18.68 / $19.38 / $122.14	Professional		$18.68	$19.38	$122.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $76.19 / $287.56	Facility		$29.80	$76.19	$287.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $29.90 / $85.75	Professional		$17.51	$29.90	$85.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.22 / $37.07	Professional		$18.80	$27.22	$37.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.80 / $255.60 / $723.32	Facility		$185.80	$255.60	$723.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $21.73 / $30.81	Professional		$20.54	$21.73	$30.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $95.16 / $533.00	Facility		$20.21	$95.16	$533.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.40 / $73.69	Professional		$17.98	$27.40	$73.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $29.60 / $73.17	Professional		$28.40	$29.60	$73.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $51.08 / $239.63	Facility		$29.80	$51.08	$239.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $28.88 / $87.44	Professional		$17.51	$28.88	$87.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.46	Facility		$18.14	$18.14	$18.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $18.46 / $19.29	Professional		$17.89	$18.46	$19.29
United Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $346.94 / $438.02	Facility		$195.16	$346.94	$438.02
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $27.19 / $60.79	Professional		$17.84	$27.19	$60.79