Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $67.50 / $344.56	Facility		$16.23	$67.50	$344.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.74 / $9.89	Professional		$3.45	$6.74	$9.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $5.08 / $13.96	Professional		$1.69	$5.08	$13.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $1,112.23 / $1,902.20	Facility		$13.61	$1,112.23	$1,902.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $55.44 / $8,639.91	Facility		$42.69	$55.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $27.91	Professional		$6.60	$6.60	$27.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $11.27 / $28.25	Facility		$5.57	$11.27	$28.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.56 / $14.81	Professional		$5.28	$9.56	$14.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.77 / $11.45	Professional		$3.89	$6.77	$11.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $23.83 / $77.54	Facility		$13.26	$23.83	$77.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $8.00 / $17.26	Professional		$5.59	$8.00	$17.26
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $896.49 / $1,902.20	Facility		$13.61	$896.49	$1,902.20
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $56.70 / $550.13	Facility		$9.80	$56.70	$550.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.84 / $18.21	Professional		$6.30	$6.84	$18.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.71 / $3,812.08 / $4,754.06	Facility		$776.71	$3,812.08	$4,754.06
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $12.85 / $28.25	Facility		$5.67	$12.85	$28.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.56 / $14.81	Professional		$5.28	$9.56	$14.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.25 / $14.83	Professional		$3.55	$5.25	$14.83