Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $53.53 / $94.25	Facility		$9.39	$53.53	$94.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.68 / $8.39	Professional		$3.72	$5.68	$8.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $7.01 / $7.01	Professional		$4.21	$7.01	$7.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $29.30 / $1,759.30	Facility		$11.29	$29.30	$1,759.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $45.93 / $8,639.91	Facility		$35.36	$45.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $23.24	Professional		$5.47	$5.47	$23.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $9.34 / $22.82	Facility		$4.61	$9.34	$22.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.26 / $12.27	Professional		$4.34	$8.26	$12.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.61 / $9.49	Professional		$3.22	$5.61	$9.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $16.48 / $45.20	Facility		$9.69	$16.48	$45.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.90 / $6.50	Professional		$4.21	$5.90	$6.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $26.90 / $59.98	Facility		$10.56	$26.90	$59.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $30.38 / $92.00	Facility		$6.56	$30.38	$92.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.32 / $24.20	Professional		$5.05	$6.32	$24.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $10.66 / $22.82	Facility		$4.70	$10.66	$22.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.26 / $12.27	Professional		$4.34	$8.26	$12.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $9.98	Professional		$9.98	$9.98	$9.98
United Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.34 / $12.83	Professional		$3.15	$4.34	$12.83