Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $50.66 / $88.20	Facility		$15.44	$50.66	$88.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $10.89 / $21.78	Professional		$9.36	$10.89	$21.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $12.11	Professional		$7.27	$7.27	$12.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $79.25 / $8,639.91	Facility		$61.03	$79.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $38.79	Professional		$9.44	$9.44	$38.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $16.12 / $40.20	Facility		$7.96	$16.12	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $13.77 / $21.16	Professional		$7.61	$13.77	$21.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.69 / $16.39	Professional		$5.57	$9.69	$16.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $33.03 / $65.73	Facility		$17.98	$33.03	$65.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.39 / $12.65	Professional		$8.00	$9.39	$12.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $43.85 / $89.04	Facility		$12.47	$43.85	$89.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.98 / $35.70	Professional		$9.44	$10.98	$35.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.77 / $26.11	Facility		$18.17	$18.77	$26.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $18.39 / $40.20	Facility		$8.11	$18.39	$40.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $13.77 / $21.16	Professional		$7.61	$13.77	$21.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $17.22	Professional		$17.22	$17.22	$17.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.51 / $22.16	Professional		$5.45	$7.51	$22.16