Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $9.98 / $17.84	Facility		$8.02	$9.98	$17.84
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $6.43 / $14.72 / $568.38	Facility	CQ	$6.43	$14.72	$568.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.14 / $20.88	Professional		$8.02	$9.14	$20.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $9.06 / $9.06	Professional	CQ	$8.74	$9.06	$9.06
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 $12.05 / $17.41 / $26.38	Professional		$12.05	$17.41	$26.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $90.08	Professional		$11.31	$11.31	$90.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $45.00 / $94.00	Professional		$24.12	$45.00	$94.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $22.23 / $39.36	Facility		$14.25	$22.23	$39.36
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $15.51 / $19.34 / $44.17	Facility	CQ	$15.51	$19.34	$44.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.39 / $34.36	Facility		$8.32	$11.39	$34.36
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $6.43 / $42.07 / $118.00	Facility	CQ	$6.43	$42.07	$118.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.05 / $21.74	Professional		$8.02	$10.05	$21.74
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $8.35 / $8.97 / $9.06	Professional	CQ	$8.35	$8.97	$9.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.05 / $17.29	Professional		$6.50	$7.05	$17.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Priority Health Facility/Professional Facility Modifier CQ Low / Median / High Price $11.49 / $11.49 / $11.49	Facility	CQ	$11.49	$11.49	$11.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $92.55	Professional		$11.31	$11.31	$92.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $18.23	Facility		$11.78	$11.78	$18.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.78 / $18.23	Professional		$11.71	$11.78	$18.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $13.61 / $25.11	Professional		$9.72	$13.61	$25.11