Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $55.69 / $149.65	Facility		$19.37	$55.69	$149.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.82 / $101.30	Professional		$9.67	$19.82	$101.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $43.91 / $1,491.00	Facility		$14.95	$43.91	$1,491.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.12 / $8,639.91	Facility		$55.54	$72.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $8.99	Professional		$8.99	$8.99	$8.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $15.34 / $38.03	Facility		$7.58	$15.34	$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 $5.30 / $6.80 / $15.61	Professional		$5.30	$6.80	$15.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $29.32 / $90.37	Facility		$17.96	$29.32	$90.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $17.98	Professional		$6.92	$8.71	$17.98
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $40.64 / $92.76	Facility		$14.41	$40.64	$92.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $51.75 / $152.19	Facility		$14.70	$51.75	$152.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $11.10 / $41.24	Professional		$9.43	$11.10	$41.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $268.58 / $277.51 / $386.03	Facility		$268.58	$277.51	$386.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $17.52 / $38.03	Facility		$7.71	$17.52	$38.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $13.22 / $20.30	Professional		$7.30	$13.22	$20.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $7.39 / $20.05	Professional		$5.19	$7.39	$20.05