Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $58.19 / $98.33	Facility		$17.96	$58.19	$98.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.85 / $23.52	Professional		$10.06	$11.85	$23.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $2,972.06 / $5,083.00	Facility		$27.57	$2,972.06	$5,083.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $89.03 / $8,639.91	Facility		$68.56	$89.03	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Professional		$10.61	$10.61	$10.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $18.11 / $45.64	Facility		$8.94	$18.11	$45.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $23.70	Professional		$8.53	$15.69	$23.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $8.02 / $18.41	Professional		$6.26	$8.02	$18.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $41.83 / $98.39	Facility		$26.04	$41.83	$98.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $10.58 / $13.00	Professional		$8.16	$10.58	$13.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $1,890.88 / $4,048.46	Facility		$13.60	$1,890.88	$4,048.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $59.51 / $139.36	Facility		$15.14	$59.51	$139.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $11.85 / $56.17	Professional		$10.52	$11.85	$56.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $242.80 / $260.12 / $414.11	Facility		$242.80	$260.12	$414.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $20.64 / $45.64	Facility		$9.11	$20.64	$45.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $23.70	Professional		$8.53	$15.69	$23.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $13.60 / $13.60	Facility		$13.60	$13.60	$13.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $13.60 / $19.35	Professional		$11.97	$13.60	$19.35
United Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $22.80	Facility		$11.40	$11.40	$22.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.93 / $25.84	Professional		$5.71	$8.93	$25.84