Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $11.77 / $170.88	Facility		$6.41	$11.77	$170.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $105.72 / $198.42	Professional		$60.28	$105.72	$198.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $108.31 / $203.65	Professional		$106.48	$108.31	$203.65
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 $118.26 / $122.48 / $202.63	Professional		$118.26	$122.48	$202.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $126.71 / $199.54	Professional		$90.00	$126.71	$199.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $191.58 / $191.58 / $191.58	Facility		$191.58	$191.58	$191.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $166.18 / $229.76	Professional		$129.68	$166.18	$229.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.77 / $196.95	Facility		$5.89	$11.77	$196.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $119.00 / $256.68	Professional		$12.11	$119.00	$256.68
Optum Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $125.62 / $156.49	Professional		$101.92	$125.62	$156.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $124.30 / $220.20 / $220.20	Facility		$124.30	$220.20	$220.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $147.19 / $256.30	Professional		$119.91	$147.19	$256.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $123.29	Facility		$117.95	$117.95	$123.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $126.69 / $200.02	Professional		$91.34	$126.69	$200.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.15 / $116.15 / $136.44	Facility		$116.15	$116.15	$136.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $136.44 / $136.44	Professional		$100.44	$136.44	$136.44
United Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $133.16 / $226.46	Professional		$105.16	$133.16	$226.46