Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $17.30 / $39.88	Facility		$4.75	$17.30	$39.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.60 / $5.20	Professional		$2.13	$3.60	$5.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $4.34 / $87.00	Professional		$2.61	$4.34	$87.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $5.00 / $389.91	Facility		$1.98	$5.00	$389.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Professional		$2.83	$2.83	$2.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $28.53 / $8,639.91	Facility		$21.97	$28.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $5.80 / $14.13	Facility		$2.86	$5.80	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $4.97 / $7.62	Professional		$2.80	$4.97	$7.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.48 / $5.89	Professional		$2.00	$3.48	$5.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $10.76 / $23.29	Facility		$6.02	$10.76	$23.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.00 / $5.01	Professional		$2.88	$4.00	$5.01
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $4.74 / $10.51	Facility		$2.31	$4.74	$10.51
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Professional		$2.83	$2.83	$2.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $13.24 / $36.97	Facility		$4.07	$13.24	$36.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.95 / $12.36	Professional		$3.39	$3.95	$12.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $6.51 / $14.13	Facility		$2.91	$6.51	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $4.97 / $7.62	Professional		$2.80	$4.97	$7.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.70 / $7.96	Professional		$1.96	$2.70	$7.96