Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $11.34 / $6,985.53	Facility		$4.36	$11.34	$6,985.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.40 / $188.14	Professional		$4.36	$4.40	$188.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.72 / $8,459.92	Facility		$4.03	$4.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.36 / $4.36	Facility		$4.11	$4.36	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.51	Professional		$4.36	$4.36	$4.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $6.10	Professional		$4.51	$4.51	$6.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $13.06 / $23.42	Facility		$8.77	$13.06	$23.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.28 / $4.83	Professional		$4.23	$4.28	$4.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $11.34 / $8,246.17	Facility		$4.09	$11.34	$8,246.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.40 / $103.95	Professional		$3.77	$4.40	$103.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $102.20 / $171.10	Professional		$27.40	$102.20	$171.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.36 / $4.36	Facility		$4.11	$4.36	$4.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.86	Professional		$4.36	$4.36	$4.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $32.11	Facility		$27.68	$27.68	$32.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $32.11	Professional		$27.68	$27.68	$32.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.62 / $7.51	Professional		$4.36	$4.62	$7.51