Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $23.69 / $51.20	Facility		$6.73	$23.69	$51.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.51 / $6.80	Professional		$2.79	$4.51	$6.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $3.11 / $5.18	Professional		$1.04	$3.11	$5.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Facility		$128.38	$128.38	$128.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $33.86 / $8,639.91	Facility		$26.08	$33.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $17.03	Professional		$4.04	$4.04	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $6.90 / $17.39	Facility		$3.41	$6.90	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $8.89	Professional		$3.26	$5.78	$8.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $4.13 / $7.01	Professional		$2.38	$4.13	$7.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $13.07 / $26.73	Facility		$7.22	$13.07	$26.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.05 / $5.50	Professional		$3.11	$4.05	$5.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $128.38 / $162.63	Facility		$128.38	$128.38	$162.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $18.60 / $57.60	Facility		$5.67	$18.60	$57.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.69 / $13.06	Professional		$3.89	$4.69	$13.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,509.00 / $1,918.24	Facility		$1,003.93	$1,509.00	$1,918.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.85 / $17.39	Facility		$3.47	$7.85	$17.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $8.89	Professional		$3.26	$5.78	$8.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.17 / $9.06	Professional		$2.18	$3.17	$9.06