Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $87.01 / $393.98	Facility		$6.99	$87.01	$393.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $80.00 / $146.02	Professional		$0.34	$80.00	$146.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.95 / $8,459.92	Facility		$0.81	$0.95	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.27 / $0.27	Facility		$0.26	$0.27	$0.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $0.70	Professional		$0.28	$0.30	$0.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $2.12 / $5.17	Facility		$0.67	$2.12	$5.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.35	Professional		$0.30	$0.30	$0.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $97.53 / $831.95	Facility		$46.15	$97.53	$831.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $79.95 / $152.54	Professional		$0.34	$79.95	$152.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $565.60 / $742.91	Facility		$537.63	$565.60	$742.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.45 / $0.65	Professional		$0.39	$0.45	$0.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.27 / $0.27	Facility		$0.26	$0.27	$0.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.28	Professional		$0.27	$0.27	$0.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.39	Facility		$0.33	$0.33	$0.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.39	Professional		$0.33	$0.33	$0.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.51	Professional		$0.28	$0.28	$0.51