Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $5.35	Facility		$3.37	$3.37	$5.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $4.05 / $5.35	Professional		$2.09	$4.05	$5.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
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 $5.23 / $6.87 / $6.87	Professional		$5.23	$6.87	$6.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $8.05	Facility		$4.13	$4.13	$8.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $4.86	Professional		$3.51	$3.51	$4.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $6.32 / $9.30	Professional		$3.82	$6.32	$9.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.90 / $5.15	Professional		$4.09	$4.90	$5.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $5.35	Facility		$3.37	$3.37	$5.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.05 / $5.69	Professional		$1.94	$4.05	$5.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,705.33 / $2,705.33 / $2,705.33	Facility		$2,705.33	$2,705.33	$2,705.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $9.80 / $13.50	Professional		$8.50	$9.80	$13.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $8.05	Facility		$4.13	$4.13	$8.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $7.88	Professional		$3.51	$3.51	$7.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $6.54 / $6.54	Facility		$4.92	$6.54	$6.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $6.54 / $6.54	Professional		$4.92	$6.54	$6.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.43 / $6.22	Professional		$2.33	$3.43	$6.22