Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $11.76 / $13.62	Facility		$10.90	$11.76	$13.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $12.84 / $20.65	Professional		$10.67	$12.84	$20.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $11.12 / $14.43	Professional		$10.13	$11.12	$14.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.84 / $25.47	Professional		$13.33	$13.84	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $16.32 / $27.94	Professional		$12.09	$16.32	$27.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $25.39 / $25.39	Facility		$25.39	$25.39	$25.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $19.85 / $110.00	Professional		$15.15	$19.85	$110.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $38.06 / $38.06	Facility		$38.06	$38.06	$38.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $11.79 / $13.38	Professional		$11.40	$11.79	$13.38
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $11.15 / $11.15 / $11.15	Professional	25	$11.15	$11.15	$11.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $11.76 / $12.47	Facility		$10.90	$11.76	$12.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.30 / $25.28	Professional		$10.90	$13.30	$25.28
Optum Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.68 / $14.75	Professional		$9.51	$12.68	$14.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $26.00 / $32.40	Professional		$12.01	$26.00	$32.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $16.35 / $30.17	Professional		$12.09	$16.35	$30.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $12.89 / $15.52	Facility		$10.99	$12.89	$15.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.85 / $14.41	Professional		$10.99	$12.85	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.21 / $26.42	Professional		$11.13	$15.21	$26.42