Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $34.15 / $75.26	Facility		$9.76	$34.15	$75.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.64 / $8.52	Professional		$3.43	$5.64	$8.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $6.47	Professional		$3.88	$3.88	$6.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $29.00 / $365.79	Facility		$10.07	$29.00	$365.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.38	Professional		$4.21	$4.21	$4.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $42.43 / $8,639.91	Facility		$32.67	$42.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.63 / $21.73	Facility		$4.47	$8.63	$21.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $7.43 / $11.42	Professional		$4.04	$7.43	$11.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $5.08 / $8.76	Professional		$2.98	$5.08	$8.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $18.44 / $38.51	Facility		$10.14	$18.44	$38.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.00 / $10.64	Professional		$4.26	$6.00	$10.64
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $27.36 / $62.46	Facility		$8.09	$27.36	$62.46
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.38	Professional		$4.21	$4.21	$4.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $28.52 / $74.63	Facility		$7.49	$28.52	$74.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.77 / $11.35	Professional		$4.66	$5.77	$11.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $110.97 / $154.37	Facility		$107.40	$110.97	$154.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.85 / $21.73	Facility		$4.34	$9.85	$21.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $7.43 / $11.42	Professional		$4.04	$7.43	$11.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Facility		$6.47	$6.47	$6.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $6.47 / $9.22	Professional		$5.69	$6.47	$9.22
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.97 / $11.35	Professional		$2.72	$3.97	$11.35