Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $11.17 / $29.34	Facility		$5.15	$11.17	$29.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.18 / $15.20	Professional		$2.83	$4.18	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $569.16 / $569.16 / $569.16	Facility		$569.16	$569.16	$569.16
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 $3.34 / $3.93 / $9.31	Professional		$3.34	$3.93	$9.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.55 / $7.52	Facility		$0.19	$0.55	$7.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $5.13 / $9.46	Professional		$2.80	$5.13	$9.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.00 / $5.00	Professional		$4.05	$5.00	$5.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.07 / $7.00	Facility		$0.04	$0.07	$7.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $569.16 / $569.16 / $721.08	Facility		$569.16	$569.16	$721.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $12.44 / $264.00	Facility		$6.55	$12.44	$264.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.28 / $14.40	Professional		$2.83	$4.28	$14.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $32.29 / $44.91	Facility		$31.25	$32.29	$44.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.56 / $5.96	Facility		$0.19	$0.56	$5.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $5.13 / $9.46	Professional		$2.71	$5.13	$9.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Facility		$2.60	$2.60	$2.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Professional		$2.60	$2.60	$2.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $2.04 / $4.75	Professional		$1.31	$2.04	$4.75