Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $23.98 / $52.26	Facility		$6.89	$23.98	$52.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.57 / $7.14	Professional		$2.54	$4.57	$7.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $3.18 / $5.30	Professional		$1.06	$3.18	$5.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $69.25 / $69.25	Facility		$69.25	$69.25	$69.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $34.67 / $8,639.91	Facility		$26.70	$34.67	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $17.03	Professional		$4.13	$4.13	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $7.07 / $17.39	Facility		$3.48	$7.07	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $6.12 / $9.31	Professional		$3.26	$6.12	$9.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $4.24 / $7.18	Professional		$2.44	$4.24	$7.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $13.25 / $27.37	Facility		$7.49	$13.25	$27.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.09 / $5.50	Professional		$3.18	$4.09	$5.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $69.25 / $87.73	Facility		$69.25	$69.25	$87.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $20.79 / $58.30	Facility		$5.46	$20.79	$58.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.74 / $7.35	Professional		$4.19	$4.74	$7.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,562.83 / $1,988.28	Facility		$1,003.93	$1,562.83	$1,988.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $8.01 / $17.39	Facility		$3.55	$8.01	$17.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $6.12 / $9.31	Professional		$3.26	$6.12	$9.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Professional		$7.54	$7.54	$7.54
United Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $8.88	Facility		$4.44	$4.44	$8.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.29 / $9.27	Professional		$2.23	$3.29	$9.27