Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $22.14 / $49.42	Facility		$7.08	$22.14	$49.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.38 / $8.48	Professional		$4.13	$4.38	$8.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $5.05	Professional		$3.04	$3.04	$5.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $22.25 / $323.05	Facility		$7.58	$22.25	$323.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $31.84 / $8,639.91	Facility		$24.52	$31.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $6.73 / $16.30	Facility		$3.33	$6.73	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.78 / $8.46	Professional		$3.11	$5.78	$8.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $4.05 / $6.85	Professional		$2.33	$4.05	$6.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $12.89 / $28.40	Facility		$7.00	$12.89	$28.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.15 / $4.50	Professional		$3.04	$4.15	$4.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $19.96 / $47.00	Facility		$5.82	$19.96	$47.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $19.70 / $50.25	Facility		$5.86	$19.70	$50.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.41 / $12.77	Professional		$4.00	$4.41	$12.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $7.39 / $16.30	Facility		$3.39	$7.39	$16.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.78 / $8.46	Professional		$3.11	$5.78	$8.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.05 / $6.92	Professional		$4.45	$5.05	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.20 / $8.80	Professional		$2.13	$3.20	$8.80