Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $34.56 / $75.23	Facility		$6.69	$34.56	$75.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.88 / $11.94	Professional		$2.47	$2.88	$11.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.90 / $63.00	Professional		$1.90	$1.90	$63.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $12.88 / $536.76	Facility		$4.38	$12.88	$536.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.14	Professional		$2.06	$2.06	$2.14
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 $2.47 / $2.47 / $10.85	Professional		$2.47	$2.47	$10.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.22 / $10.87	Facility		$2.19	$4.22	$10.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.72 / $5.50	Professional		$2.02	$3.72	$5.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.54 / $4.29	Professional		$1.46	$2.54	$4.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $8.99 / $28.00	Facility		$4.71	$8.99	$28.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.00 / $5.21	Professional		$1.90	$3.00	$5.21
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $11.92 / $27.21	Facility		$3.96	$11.92	$27.21
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.14	Professional		$2.06	$2.06	$2.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $23.76 / $85.07	Facility		$4.12	$23.76	$85.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.88 / $11.53	Professional		$2.37	$2.88	$11.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $4.80 / $10.87	Facility		$2.12	$4.80	$10.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.44 / $5.50	Professional		$2.02	$3.44	$5.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Facility		$3.17	$3.17	$3.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.17 / $4.50	Professional		$2.79	$3.17	$4.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.17 / $5.52	Professional		$1.90	$3.17	$5.52