Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $28.55 / $62.37	Facility		$8.72	$28.55	$62.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.22 / $73.00	Professional		$4.34	$5.22	$73.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.78	Professional		$3.47	$3.47	$5.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $25.84 / $1,871.70	Facility		$8.97	$25.84	$1,871.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $3.76	Professional		$3.76	$3.76	$3.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $37.90 / $8,639.91	Facility		$29.19	$37.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.70 / $19.55	Facility		$4.00	$7.70	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.61 / $10.16	Professional		$3.57	$6.61	$10.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.62 / $7.83	Professional		$2.66	$4.62	$7.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $16.73 / $48.53	Facility		$9.76	$16.73	$48.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.50 / $9.50	Professional		$3.82	$5.50	$9.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $24.38 / $55.65	Facility		$7.23	$24.38	$55.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $3.91	Professional		$3.76	$3.76	$3.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $24.15 / $94.50	Facility		$6.43	$24.15	$94.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.22 / $19.13	Professional		$4.34	$5.22	$19.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $80.63 / $112.16	Facility		$78.04	$80.63	$112.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $8.77 / $19.55	Facility		$3.87	$8.77	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.61 / $10.16	Professional		$3.57	$6.61	$10.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
United Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $6.94 / $6.94	Facility		$5.20	$6.94	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.80 / $10.14	Professional		$2.60	$3.80	$10.14