Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $25.50 / $63.45	Facility		$7.73	$25.50	$63.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.59 / $8.83	Professional		$3.43	$4.59	$8.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $5.12	Professional		$3.07	$3.07	$5.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $5.19 / $251.48	Facility		$1.98	$5.19	$251.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $33.54 / $8,639.91	Facility		$25.84	$33.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $17.03	Professional		$3.99	$3.99	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $6.82 / $17.39	Facility		$3.37	$6.82	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $8.89	Professional		$3.26	$5.78	$8.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.09 / $6.93	Professional		$2.36	$4.09	$6.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $13.96 / $29.62	Facility		$7.36	$13.96	$29.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $4.04 / $8.42	Professional		$3.38	$4.04	$8.42
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $4.74 / $160.00	Facility		$1.98	$4.74	$160.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $21.27 / $57.48	Facility		$6.01	$21.27	$57.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.63 / $13.95	Professional		$3.99	$4.63	$13.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $565.60 / $742.91	Facility		$537.63	$565.60	$742.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $7.79 / $17.39	Facility		$3.43	$7.79	$17.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.74 / $8.89	Professional		$3.26	$5.74	$8.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.17 / $9.36	Professional		$2.15	$3.17	$9.36