Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $25.25 / $217.70	Facility		$5.28	$25.25	$217.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $5.97 / $19.20	Professional		$2.14	$5.97	$19.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $7.14 / $17.51	Professional		$7.14	$7.14	$17.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $12.41	Professional		$10.76	$10.76	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $12.61 / $12.61	Facility		$12.61	$12.61	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.57 / $15.60	Professional		$11.30	$14.57	$15.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $56.55 / $79.97	Facility		$14.76	$56.55	$79.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $22.62 / $217.70	Facility		$5.28	$22.62	$217.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $5.97 / $19.20	Professional		$2.14	$5.97	$19.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,153.98 / $2,153.98 / $2,153.98	Facility		$2,153.98	$2,153.98	$2,153.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $15.20 / $21.20	Professional		$13.20	$15.20	$21.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $12.61 / $12.61	Facility		$12.61	$12.61	$12.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $8.51	Professional		$5.08	$5.08	$8.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $10.24 / $10.24	Facility		$7.21	$10.24	$10.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.24 / $10.24	Professional		$7.21	$10.24	$10.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.36 / $8.94	Professional		$4.55	$5.36	$8.94