Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $52.85 / $99.12	Facility		$13.57	$52.85	$99.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $10.05 / $18.88	Professional		$9.01	$10.05	$18.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $949.27 / $1,623.50	Facility		$13.79	$949.27	$1,623.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $50.41 / $8,639.91	Facility		$38.82	$50.41	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $9.01	Professional		$9.01	$9.01	$9.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $15.39 / $38.03	Facility		$7.59	$15.39	$38.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $13.22 / $20.30	Professional		$7.30	$13.22	$20.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.13 / $15.64	Professional		$5.31	$8.13	$15.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $45.60 / $78.98	Facility		$22.10	$45.60	$78.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.50 / $9.82	Professional		$6.93	$7.50	$9.82
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $603.94 / $1,293.07	Facility		$11.55	$603.94	$1,293.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $43.06 / $101.04	Facility		$9.82	$43.06	$101.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.06 / $47.70	Professional		$7.28	$10.06	$47.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $2,198.67 / $2,743.99	Facility		$819.61	$2,198.67	$2,743.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $17.54 / $38.03	Facility		$7.74	$17.54	$38.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $13.01 / $20.30	Professional		$7.30	$13.01	$20.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Facility		$11.55	$11.55	$11.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.55 / $11.55	Professional		$10.16	$11.55	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.93 / $20.10	Professional		$4.84	$6.93	$20.10