Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $18.78 / $42.68	Facility		$4.13	$18.78	$42.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.01 / $11.94	Professional		$2.88	$4.01	$11.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $15.11 / $305.47	Facility		$5.82	$15.11	$305.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $20.77 / $8,639.91	Facility		$15.99	$20.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $10.85	Professional		$3.14	$3.14	$10.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $5.22 / $13.04	Facility		$2.64	$5.22	$13.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $4.54 / $6.20	Professional		$2.02	$4.54	$6.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.22 / $5.44	Professional		$1.85	$3.22	$5.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $15.57 / $44.62	Facility		$8.00	$15.57	$44.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.00 / $4.43	Professional		$2.41	$3.00	$4.43
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $13.87 / $30.92	Facility		$5.44	$13.87	$30.92
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $13.91 / $42.49	Facility		$4.48	$13.91	$42.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.63 / $13.89	Professional		$2.93	$4.63	$13.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,134.81 / $2,134.81 / $2,134.81	Facility		$2,134.81	$2,134.81	$2,134.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.35 / $13.04	Facility		$2.69	$5.35	$13.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $4.54 / $5.68	Professional		$2.02	$4.54	$5.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.01 / $4.50	Professional		$3.54	$4.01	$4.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.42 / $6.83	Professional		$2.41	$3.42	$6.83