Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $9.02 / $31.74	Facility		$8.76	$9.02	$31.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.02 / $18.43	Professional		$7.91	$9.02	$18.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.65 / $12.65 / $12.65	Professional	25	$12.65	$12.65	$12.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.96 / $19.96 / $19.96	Professional	25	$19.96	$19.96	$19.96
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 $15.06 / $19.71 / $28.99	Professional		$15.06	$19.71	$28.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $14.12 / $29.01	Professional		$9.21	$14.12	$29.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $46.68 / $46.68	Facility		$46.68	$46.68	$46.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $32.14 / $42.04	Professional		$24.45	$32.14	$42.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.50 / $22.31	Professional		$9.25	$9.50	$22.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $31.74	Facility		$8.76	$8.76	$31.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $10.75 / $25.15	Professional		$8.17	$10.75	$25.15
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $12.65 / $12.65 / $12.65	Professional	25	$12.65	$12.65	$12.65
Optum Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.98 / $21.96	Professional		$11.12	$18.98	$21.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $27.80 / $40.00	Professional		$19.04	$27.80	$40.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $14.33 / $29.01	Professional		$9.19	$14.33	$29.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $17.70 / $17.70	Facility		$9.17	$17.70	$17.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.70 / $19.48	Professional		$17.36	$17.70	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.90 / $20.09	Professional		$8.40	$10.90	$20.09