Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $24.39 / $420.71	Facility		$22.04	$24.39	$420.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.33 / $81.56	Professional		$21.72	$25.33	$81.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $45.53 / $45.53	Professional		$45.53	$45.53	$45.53
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 $40.78 / $53.56 / $53.56	Professional		$40.78	$53.56	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $55.49	Facility		$39.15	$39.15	$55.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $48.59	Professional		$28.59	$28.59	$48.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $55.49 / $105.43	Professional		$51.05	$55.49	$105.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $97.28 / $241.83	Facility		$97.28	$97.28	$241.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $36.83 / $45.53	Professional		$36.17	$36.83	$45.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $420.71 / $420.71	Facility		$22.04	$420.71	$420.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.80 / $88.78	Professional		$21.72	$25.80	$88.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $37.60 / $109.30	Professional		$21.70	$37.60	$109.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $55.49	Facility		$39.15	$39.15	$55.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $70.13	Professional		$28.59	$28.59	$70.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $50.98 / $50.98	Facility		$38.29	$50.98	$50.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $50.98 / $57.62	Professional		$38.29	$50.98	$57.62
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $27.02 / $48.30	Professional		$22.65	$27.02	$48.30