Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $20.56 / $49.70	Facility		$7.32	$20.56	$49.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.22 / $8.60	Professional		$3.85	$4.22	$8.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $4.75	Professional		$2.85	$2.85	$4.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $19.52 / $219.18	Facility		$6.98	$19.52	$219.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $31.08 / $8,639.91	Facility		$23.94	$31.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $15.50	Professional		$3.70	$3.70	$15.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $6.33 / $16.30	Facility		$3.12	$6.33	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.78 / $8.46	Professional		$2.95	$5.78	$8.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.80 / $6.43	Professional		$2.19	$3.80	$6.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $13.67 / $29.05	Facility		$6.89	$13.67	$29.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.04 / $4.95	Professional		$2.85	$4.04	$4.95
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $18.46 / $43.29	Facility		$5.46	$18.46	$43.29
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $19.09 / $52.50	Facility		$5.58	$19.09	$52.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.22 / $13.49	Professional		$3.75	$4.22	$13.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $75.81 / $105.46	Facility		$73.38	$75.81	$105.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $7.21 / $16.30	Facility		$3.18	$7.21	$16.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.78 / $8.46	Professional		$2.95	$5.78	$8.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $4.75 / $8.08	Professional		$2.61	$4.75	$8.08