Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $37.40 / $82.15	Facility		$12.47	$37.40	$82.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.77 / $11.28	Professional		$5.25	$5.77	$11.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $3.89 / $6.48	Professional		$1.30	$3.89	$6.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $29.00 / $442.33	Facility		$10.07	$29.00	$442.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $42.43 / $8,639.91	Facility		$32.67	$42.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $20.14	Professional		$5.05	$5.05	$20.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $8.63 / $21.73	Facility		$4.48	$8.63	$21.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.27 / $11.42	Professional		$3.89	$7.27	$11.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $5.08 / $8.77	Professional		$2.98	$5.08	$8.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $18.14 / $41.60	Facility		$10.69	$18.14	$41.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.51 / $6.60	Professional		$3.89	$5.51	$6.60
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $27.36 / $62.46	Facility		$8.10	$27.36	$62.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $28.27 / $85.23	Facility		$7.51	$28.27	$85.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.77 / $16.36	Professional		$4.79	$5.77	$16.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,873.55 / $2,382.04	Facility		$1,003.93	$1,873.55	$2,382.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.85 / $21.73	Facility		$4.34	$9.85	$21.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.27 / $11.42	Professional		$3.89	$7.27	$11.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.15 / $11.35	Professional		$2.92	$4.15	$11.35