Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $82.58 / $82.58	Facility		$20.86	$82.58	$82.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.55 / $26.46	Professional		$15.76	$19.55	$26.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $23.45	Professional		$15.11	$15.11	$23.45
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 $17.10 / $20.12 / $28.87	Professional		$17.10	$20.12	$28.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $138.61 / $319.76	Facility		$22.69	$138.61	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.97 / $38.31	Professional		$17.96	$23.97	$38.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $46.05 / $46.05	Facility		$46.05	$46.05	$46.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $31.48 / $40.32	Professional		$21.73	$31.48	$40.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.48	Professional		$19.22	$19.22	$19.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $82.58 / $1,812.00	Facility		$20.86	$82.58	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $20.18 / $36.94	Professional		$16.86	$20.18	$36.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $51.90 / $51.90	Professional		$40.70	$51.90	$51.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $123.98 / $266.25	Facility		$22.69	$123.98	$266.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.97 / $38.31	Professional		$17.73	$23.97	$38.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $19.98	Facility		$18.00	$18.00	$19.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $18.00 / $19.98	Professional		$17.72	$18.00	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $21.49 / $35.06	Professional		$16.72	$21.49	$35.06