Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $40.64 / $72.23	Facility		$21.61	$40.64	$72.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $14.32 / $22.22	Professional		$12.31	$14.32	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.92 / $26.27	Professional		$9.55	$15.92	$26.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $161.19 / $210.80	Facility		$31.12	$161.19	$210.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $104.14 / $8,639.91	Facility		$80.20	$104.14	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $12.42 / $12.42	Professional		$12.42	$12.42	$12.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $21.20 / $53.24	Facility		$10.47	$21.20	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.93	Professional		$9.94	$18.17	$27.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $9.39 / $21.56	Professional		$3.43	$9.39	$21.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $38.53 / $69.23	Facility		$20.14	$38.53	$69.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.53 / $15.50	Professional		$9.55	$12.53	$15.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $161.19 / $210.80	Facility		$31.12	$161.19	$210.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $40.59 / $75.00	Facility		$15.92	$40.59	$75.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.42 / $28.42	Professional		$12.90	$14.42	$28.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $24.68 / $34.33	Facility		$23.88	$24.68	$34.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $24.16 / $53.24	Facility		$10.66	$24.16	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.93	Professional		$9.94	$18.17	$27.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Professional		$20.66	$20.66	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.92 / $27.93	Professional		$9.55	$15.92	$27.93