Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $6.76	Facility		$4.26	$4.26	$6.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $5.12 / $6.76	Professional		$2.64	$5.12	$6.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $8.67 / $8.67	Professional		$5.18	$8.67	$8.67
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 $6.61 / $8.67 / $8.67	Professional		$6.61	$8.67	$8.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $10.16	Facility		$5.22	$5.22	$10.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $6.14	Professional		$4.44	$4.44	$6.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $7.98 / $11.74	Professional		$4.99	$7.98	$11.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.07 / $6.50	Professional		$5.18	$6.07	$6.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $6.76	Facility		$4.26	$4.26	$6.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $5.32 / $6.76	Professional		$2.37	$5.32	$6.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $12.40 / $17.10	Professional		$8.80	$12.40	$17.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $10.16	Facility		$5.22	$5.22	$10.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $10.13	Professional		$4.44	$4.44	$10.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $8.26 / $8.26	Facility		$6.21	$8.26	$8.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.26 / $8.26	Professional		$6.21	$8.26	$8.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.33 / $7.84	Professional		$2.95	$4.33	$7.84