Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $14.80 / $34.50	Facility		$9.22	$14.80	$34.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.82 / $22.37	Professional		$9.52	$11.82	$22.37
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $14.57 / $22.84 / $22.84	Professional	CQ	$14.57	$22.84	$22.84
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $10.98 / $10.98 / $10.98	Professional	CQ	$10.98	$10.98	$10.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.21 / $29.73	Professional		$16.63	$17.21	$29.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $65.00 / $75.00	Facility		$31.76	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $55.00 / $111.17	Professional		$11.83	$55.00	$111.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $38.99 / $47.15	Facility		$38.99	$38.99	$47.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $15.59 / $15.59 / $15.59	Professional	CQ	$15.59	$15.59	$15.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $18.11 / $86.77	Facility		$9.52	$18.11	$86.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.69 / $25.49	Professional		$9.52	$13.69	$25.49
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $22.84 / $22.84 / $22.84	Professional	CQ	$22.84	$22.84	$22.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $21.89 / $34.10	Professional		$10.34	$21.89	$34.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $65.00 / $75.00	Facility		$31.76	$65.00	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $61.27 / $113.01	Professional		$13.31	$61.27	$113.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $19.18	Facility		$14.15	$14.15	$19.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $14.15 / $19.18	Professional		$13.86	$14.15	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $15.16 / $22.50	Professional		$12.71	$15.16	$22.50