Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $19.22 / $37.79	Facility		$5.98	$19.22	$37.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.92 / $4.59	Professional		$2.43	$3.92	$4.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,459.23 / $3,459.23 / $3,459.23	Facility		$3,459.23	$3,459.23	$3,459.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $30.05 / $8,639.91	Facility		$23.14	$30.05	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.13 / $15.21	Facility		$3.02	$6.13	$15.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.37 / $8.03	Professional		$2.95	$5.37	$8.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.68 / $6.23	Professional		$2.12	$3.68	$6.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $12.55 / $20.75	Facility		$6.50	$12.55	$20.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.63 / $4.50	Professional		$2.76	$3.63	$4.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,459.23 / $3,459.23 / $4,382.56	Facility		$3,459.23	$3,459.23	$4,382.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $14.70 / $37.79	Facility		$5.12	$14.70	$37.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.25 / $19.00	Professional		$3.59	$4.25	$19.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $6.98 / $15.21	Facility		$3.08	$6.98	$15.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.37 / $8.03	Professional		$2.95	$5.37	$8.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $6.54	Professional		$6.54	$6.54	$6.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.29 / $3.16	Facility		$1.84	$2.29	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.76 / $8.03	Professional		$1.93	$2.76	$8.03