Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $44.25 / $87.24	Facility		$14.66	$44.25	$87.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.33 / $21.28	Professional		$7.18	$8.33	$21.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $15.54	Professional		$5.83	$5.83	$15.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $42.49 / $552.16	Facility		$14.75	$42.49	$552.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.56	Professional		$6.31	$6.31	$6.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $63.55 / $8,639.91	Facility		$48.94	$63.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Professional		$7.57	$7.57	$7.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $12.93 / $32.60	Facility		$6.72	$12.93	$32.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.15 / $16.93	Professional		$6.06	$11.15	$16.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.77 / $13.15	Professional		$4.47	$7.77	$13.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $29.37 / $69.20	Facility		$15.62	$29.37	$69.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $11.90 / $19.79	Professional		$6.42	$11.90	$19.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $40.09 / $91.52	Facility		$11.17	$40.09	$91.52
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $15.99	Professional		$6.31	$6.31	$15.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $40.34 / $99.09	Facility		$9.71	$40.34	$99.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.52 / $24.50	Professional		$7.18	$8.52	$24.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.17 / $607.77 / $845.49	Facility		$588.17	$607.77	$845.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $14.75 / $32.60	Facility		$6.50	$14.75	$32.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.15 / $16.93	Professional		$6.06	$11.15	$16.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.38 / $17.00	Professional		$4.37	$6.38	$17.00