Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $30.54 / $64.95	Facility		$9.02	$30.54	$64.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.59 / $9.68	Professional		$4.04	$4.59	$9.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $5.18	Professional		$3.11	$3.11	$5.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $23.25 / $251.48	Facility		$8.07	$23.25	$251.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $3.37	Professional		$3.37	$3.37	$3.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $33.90 / $8,639.91	Facility		$26.11	$33.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $6.90 / $17.39	Facility		$3.41	$6.90	$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 $2.38 / $4.13 / $7.01	Professional		$2.38	$4.13	$7.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $14.71 / $31.91	Facility		$8.15	$14.71	$31.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.00 / $8.52	Professional		$3.43	$5.00	$8.52
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $21.94 / $50.09	Facility		$6.48	$21.94	$50.09
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $3.51	Professional		$3.37	$3.37	$3.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $26.31 / $66.91	Facility		$6.94	$26.31	$66.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.68 / $13.06	Professional		$4.04	$4.68	$13.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $108.65 / $151.13	Facility		$105.16	$108.65	$151.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.85 / $17.39	Facility		$3.47	$7.85	$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 $7.36 / $7.36 / $7.36	Professional		$7.36	$7.36	$7.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.32 / $9.07	Professional		$2.33	$3.32	$9.07