Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $27.30 / $50.78	Facility		$5.43	$27.30	$50.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.28 / $6.58	Professional		$2.16	$3.28	$6.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.20 / $6.06	Professional		$1.84	$2.20	$6.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $5.19 / $213.71	Facility		$1.98	$5.19	$213.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $24.00 / $8,639.91	Facility		$18.48	$24.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $12.41	Professional		$2.86	$2.86	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $4.90 / $11.95	Facility		$2.41	$4.90	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $4.21 / $6.35	Professional		$2.33	$4.21	$6.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.94 / $4.97	Professional		$1.69	$2.94	$4.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $8.89 / $18.09	Facility		$4.78	$8.89	$18.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.85 / $3.85	Professional		$2.20	$2.85	$3.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $4.74 / $135.97	Facility		$1.98	$4.74	$135.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $14.57 / $53.60	Facility		$3.78	$14.57	$53.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.31 / $11.21	Professional		$2.39	$3.31	$11.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,096.14 / $1,394.52	Facility		$1,003.93	$1,096.14	$1,394.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $5.51 / $11.95	Facility		$2.46	$5.51	$11.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $4.21 / $6.35	Professional		$2.33	$4.21	$6.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Professional		$5.21	$5.21	$5.21
United Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $6.14	Facility		$3.07	$3.07	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.39 / $6.97	Professional		$1.65	$2.39	$6.97