Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $14.37 / $34.54	Facility		$4.08	$14.37	$34.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.48 / $13.30	Professional		$2.31	$3.48	$13.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.48 / $3.48	Professional		$1.74	$3.48	$3.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $14.64 / $121.27	Facility		$4.98	$14.64	$121.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.25 / $2.35	Professional		$1.92	$2.25	$2.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $16.77 / $8,639.91	Facility		$12.92	$16.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $7.75	Professional		$2.71	$2.71	$7.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $4.51 / $11.95	Facility		$2.27	$4.51	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $3.83 / $5.17	Professional		$1.70	$3.83	$5.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.04 / $4.71	Professional		$1.60	$2.04	$4.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $9.47 / $22.18	Facility		$6.12	$9.47	$22.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.75	Professional		$2.52	$2.52	$2.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $13.55 / $30.92	Facility		$4.34	$13.55	$30.92
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.25 / $4.21	Professional		$1.92	$2.25	$4.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $12.73 / $34.54	Facility		$3.87	$12.73	$34.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.18 / $14.37	Professional		$2.78	$4.18	$14.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.39 / $7.50	Facility		$5.22	$5.39	$7.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $4.63 / $11.95	Facility		$2.33	$4.63	$11.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $3.46 / $4.65	Professional		$1.55	$3.46	$4.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Facility		$3.48	$3.48	$3.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.48 / $3.65	Professional		$3.06	$3.48	$3.65
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.75	Facility		$1.74	$1.74	$1.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.13 / $5.92	Professional		$2.09	$3.13	$5.92