Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $3.96	Facility		$2.50	$2.50	$3.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.97 / $3.96	Professional		$1.55	$2.97	$3.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.09 / $5.09	Professional		$3.06	$5.09	$5.09
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 $3.88 / $5.09 / $5.09	Professional		$3.88	$5.09	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $5.98	Facility		$3.06	$3.06	$5.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $3.60	Professional		$2.60	$2.60	$3.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.07 / $7.59	Professional		$4.69	$6.07	$7.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.44 / $3.83	Professional		$3.04	$3.44	$3.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $3.96	Facility		$2.50	$2.50	$3.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.97 / $3.96	Professional		$1.39	$2.97	$3.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.30 / $10.00	Professional		$6.30	$7.30	$10.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $5.98	Facility		$3.06	$3.06	$5.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $6.00	Professional		$2.60	$2.60	$6.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $4.84 / $4.84	Facility		$3.65	$4.84	$4.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.84 / $4.84	Professional		$3.65	$4.84	$4.84
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.54 / $4.59	Professional		$1.83	$2.54	$4.59