Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $193.05 / $452.81	Facility		$26.52	$193.05	$452.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $15.00 / $18.23	Professional		$14.22	$15.00	$18.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $22.96 / $35.25	Professional		$12.69	$22.96	$35.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $40.44	Professional		$10.00	$15.00	$40.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $23.70	Facility		$23.70	$23.70	$23.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.78 / $23.70	Professional		$16.86	$17.78	$23.70
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $35.10	Professional		$35.10	$35.10	$35.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $96.60 / $452.81	Facility		$25.33	$96.60	$452.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $15.55 / $19.10	Professional		$13.72	$15.55	$19.10
Optum Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $17.10	Professional		$15.00	$15.00	$17.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $40.44	Professional		$10.00	$15.00	$40.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
United Facility/Professional Facility Modifier Low / Median / High Price $187.77 / $248.98 / $309.14	Facility		$187.77	$248.98	$309.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $36.04 / $61.05	Professional		$28.01	$36.04	$61.05