Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $60.38 / $139.50	Facility		$15.94	$60.38	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $6.52 / $9.40	Professional		$3.22	$6.52	$9.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.90 / $8.17	Professional		$4.63	$4.90	$8.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $1,134.63 / $1,940.52	Facility		$15.42	$1,134.63	$1,940.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $53.51 / $8,639.91	Facility		$41.21	$53.51	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $26.34	Professional		$6.37	$6.37	$26.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.88 / $27.17	Facility		$5.37	$10.88	$27.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.50 / $14.39	Professional		$5.13	$9.50	$14.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $6.54 / $11.06	Professional		$3.76	$6.54	$11.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $23.02 / $72.68	Facility		$12.69	$23.02	$72.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $7.97 / $12.75	Professional		$5.39	$7.97	$12.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $1,134.63 / $1,940.52	Facility		$15.42	$1,134.63	$1,940.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $37.44 / $171.72	Facility		$9.59	$37.44	$171.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.66 / $20.61	Professional		$6.04	$6.66	$20.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,774.15 / $2,171.33	Facility		$1,003.93	$1,774.15	$2,171.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $12.41 / $27.17	Facility		$5.47	$12.41	$27.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.50 / $14.39	Professional		$5.13	$9.50	$14.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Facility		$8.17	$8.17	$8.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $8.17 / $11.63	Professional		$7.19	$8.17	$11.63
United Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $4.09 / $5.60	Facility		$3.27	$4.09	$5.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.01 / $14.32	Professional		$3.43	$5.01	$14.32