Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $21.65 / $55.00	Facility		$6.25	$21.65	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.81 / $5.26	Professional		$2.17	$3.81	$5.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Professional		$2.89	$2.89	$2.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $5.19 / $422.45	Facility		$1.98	$5.19	$422.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $31.48 / $8,639.91	Facility		$24.25	$31.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $6.41 / $16.30	Facility		$3.16	$6.41	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.78 / $8.46	Professional		$2.95	$5.78	$8.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $3.85 / $6.51	Professional		$2.21	$3.85	$6.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $12.54 / $25.98	Facility		$6.09	$12.54	$25.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.70 / $4.50	Professional		$2.89	$3.70	$4.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $4.83 / $10.51	Facility		$2.31	$4.83	$10.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $19.34 / $55.00	Facility		$5.00	$19.34	$55.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.80 / $19.87	Professional		$3.60	$4.80	$19.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $7.31 / $16.30	Facility		$3.22	$7.31	$16.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.78 / $8.46	Professional		$2.95	$5.78	$8.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Professional		$6.85	$6.85	$6.85
United Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $8.06	Facility		$4.03	$4.03	$8.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.08 / $8.80	Professional		$2.10	$3.08	$8.80