Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $43.40 / $194.56	Facility		$20.72	$43.40	$194.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $20.72 / $27.88	Professional		$16.25	$20.72	$27.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $32.86	Professional		$32.86	$32.86	$32.86
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 $33.36 / $43.82 / $43.82	Professional		$33.36	$43.82	$43.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $44.22	Facility		$29.97	$35.00	$44.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $45.00	Professional		$25.55	$25.55	$45.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $44.22 / $84.02	Professional		$40.68	$44.22	$84.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $135.60 / $252.99	Facility		$89.08	$135.60	$252.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $30.67 / $32.86	Professional		$29.59	$30.67	$32.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $69.26 / $194.56	Facility		$38.61	$69.26	$194.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.48 / $41.00	Professional		$14.53	$21.48	$41.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.52 / $1,889.52 / $1,889.52	Facility		$1,889.52	$1,889.52	$1,889.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $57.60 / $87.10	Professional		$29.90	$57.60	$87.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $44.22	Facility		$29.97	$35.00	$44.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $59.25	Professional		$25.55	$25.55	$59.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $41.71 / $41.71	Facility		$33.03	$41.71	$41.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $41.71 / $48.65	Professional		$33.03	$41.71	$48.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $26.29 / $39.29	Professional		$20.58	$26.29	$39.29