Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $5.54	Facility		$3.49	$3.49	$5.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.13 / $5.54	Professional		$2.00	$4.13	$5.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $7.12 / $7.12	Professional		$4.25	$7.12	$7.12
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 $5.42 / $7.12 / $7.12	Professional		$5.42	$7.12	$7.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $8.34	Facility		$4.28	$4.28	$8.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $5.03	Professional		$3.64	$3.64	$5.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $6.55 / $9.64	Professional		$3.85	$6.55	$9.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.98 / $5.34	Professional		$4.25	$4.98	$5.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $5.54	Facility		$3.49	$3.49	$5.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.36 / $5.54	Professional		$1.94	$4.36	$5.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $375.34 / $375.34 / $375.34	Facility		$375.34	$375.34	$375.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.40 / $14.00	Professional		$2.80	$3.40	$14.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $8.34	Facility		$4.28	$4.28	$8.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $8.25	Professional		$3.64	$3.64	$8.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $6.77 / $6.77	Facility		$5.09	$6.77	$6.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.77 / $6.77	Professional		$5.09	$6.77	$6.77
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.55 / $6.22	Professional		$2.43	$3.55	$6.22