Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $38.75 / $74.86	Facility		$13.06	$38.75	$74.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.97 / $23.84	Professional		$4.90	$6.97	$23.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.65 / $8.61	Professional		$4.30	$4.65	$8.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $891.15 / $1,165.34	Facility		$12.83	$891.15	$1,165.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.83	Professional		$5.60	$5.60	$5.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $41.45 / $8,639.91	Facility		$31.91	$41.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $20.14	Professional		$6.72	$6.72	$20.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $11.20 / $28.25	Facility		$5.66	$11.20	$28.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $9.56 / $12.92	Professional		$4.01	$9.56	$12.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $5.08 / $11.66	Professional		$2.02	$5.08	$11.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $26.04 / $59.60	Facility		$12.28	$26.04	$59.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $7.32 / $12.90	Professional		$5.59	$7.32	$12.90
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $891.15 / $1,165.34	Facility		$12.83	$891.15	$1,165.34
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.83	Professional		$5.60	$5.60	$5.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $35.56 / $77.20	Facility		$10.10	$35.56	$77.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.60 / $29.69	Professional		$4.90	$8.60	$29.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,765.74 / $2,175.02	Facility		$1,003.93	$1,765.74	$2,175.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $11.47 / $28.25	Facility		$5.77	$11.47	$28.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $8.18 / $11.00	Professional		$2.83	$8.18	$11.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Facility		$8.61	$8.61	$8.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $8.61 / $9.00	Professional		$7.58	$8.61	$9.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $10.61	Facility		$5.30	$5.30	$10.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $8.61 / $14.64	Professional		$4.74	$8.61	$14.64