Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $45.43 / $80.81	Facility		$16.63	$45.43	$80.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $15.26 / $16.63	Professional		$12.27	$15.26	$16.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $86.56 / $8,639.91	Facility		$66.66	$86.56	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $15.26	Professional		$15.26	$15.26	$15.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $25.42 / $65.20	Facility		$12.72	$25.42	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $20.63	Professional		$10.29	$10.29	$20.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $11.55 / $26.50	Professional		$9.00	$11.55	$26.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $41.08 / $66.04	Facility		$25.79	$41.08	$66.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $13.00	Professional		$11.74	$11.74	$13.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $46.23 / $80.81	Facility		$20.16	$46.23	$80.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $15.46 / $80.81	Professional		$12.69	$15.46	$80.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $261.98 / $261.98 / $261.98	Facility		$261.98	$261.98	$261.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $25.44 / $65.20	Facility		$12.72	$25.44	$65.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $20.63	Professional		$10.29	$10.29	$20.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.57 / $19.57	Facility		$16.98	$19.57	$19.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.57 / $19.57	Professional		$16.98	$19.57	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.74 / $34.04	Professional		$8.11	$11.74	$34.04