Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $15.03 / $27.49	Facility		$3.98	$15.03	$27.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.68 / $3.64	Professional		$2.61	$2.68	$3.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.64	Professional		$2.18	$2.18	$3.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $13.59 / $202.78	Facility		$5.24	$13.59	$202.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $19.60 / $8,639.91	Facility		$15.09	$19.60	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $9.31	Professional		$2.84	$2.84	$9.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $4.74 / $11.95	Facility		$2.39	$4.74	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.13 / $5.69	Professional		$1.86	$4.13	$5.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.15 / $4.93	Professional		$1.67	$2.15	$4.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.27 / $16.54	Facility		$6.61	$9.27	$16.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.85 / $3.10	Professional		$2.18	$2.85	$3.10
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $12.51 / $27.83	Facility		$4.90	$12.51	$27.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.92 / $30.18	Facility		$3.98	$10.92	$30.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.72 / $9.17	Professional		$2.61	$2.72	$9.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Facility		$16.97	$16.97	$16.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $4.86 / $11.95	Facility		$2.44	$4.86	$11.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.13 / $5.16	Professional		$1.86	$4.13	$5.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.64 / $4.26	Professional		$3.20	$3.64	$4.26
United Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $4.37 / $4.37	Facility		$3.28	$4.37	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.18 / $6.19	Professional		$1.64	$2.18	$6.19