Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $56.80 / $122.09	Facility		$15.55	$56.80	$122.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.58 / $13.25	Professional		$7.02	$9.58	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $13.25	Professional		$7.95	$7.95	$13.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $28.80 / $922.43	Facility		$11.45	$28.80	$922.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $81.13 / $8,639.91	Facility		$62.48	$81.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $10.34	Professional		$10.34	$10.34	$10.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.22 / $38.75	Facility		$8.71	$17.22	$38.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $15.28 / $21.16	Professional		$7.77	$15.28	$21.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $10.60 / $17.94	Professional		$6.10	$10.60	$17.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $34.45 / $74.87	Facility		$18.35	$34.45	$74.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $11.25 / $12.50	Professional		$7.95	$11.25	$12.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $25.84 / $60.85	Facility		$13.25	$25.84	$60.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $52.60 / $146.28	Facility		$14.57	$52.60	$146.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.65 / $45.71	Professional		$7.02	$9.65	$45.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $20.53 / $43.46	Facility		$8.86	$20.53	$43.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $15.28 / $21.16	Professional		$7.77	$15.28	$21.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $19.89	Facility		$13.25	$13.25	$19.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.25 / $19.89	Professional		$11.66	$13.25	$19.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.68 / $24.25	Professional		$5.96	$8.68	$24.25