Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $75.81 / $190.90	Facility		$27.22	$75.81	$190.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.02 / $18.70	Professional		$8.57	$9.02	$18.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $20.58	Professional		$7.48	$7.48	$20.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $2,606.27 / $4,457.39	Facility		$16.38	$2,606.27	$4,457.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $57.05 / $8,639.91	Facility		$43.93	$57.05	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $9.73	Professional		$9.73	$9.73	$9.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $16.22 / $41.29	Facility		$8.19	$16.22	$41.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $14.15 / $18.61	Professional		$6.21	$14.15	$18.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $8.13 / $16.88	Professional		$5.74	$8.13	$16.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $36.60 / $75.64	Facility		$17.14	$36.60	$75.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $8.50 / $10.60	Professional		$7.48	$8.50	$10.60
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $2,606.27 / $4,457.39	Facility		$16.38	$2,606.27	$4,457.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $65.09 / $198.00	Facility		$17.46	$65.09	$198.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $10.10 / $51.50	Professional		$8.57	$10.10	$51.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,389.90 / $1,773.51	Facility		$1,003.93	$1,389.90	$1,773.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $16.61 / $41.29	Facility		$8.35	$16.61	$41.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $14.15 / $18.07	Professional		$6.21	$14.15	$18.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Facility		$12.47	$12.47	$12.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $12.47 / $12.47	Professional		$10.97	$12.47	$12.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.48 / $23.69	Professional		$5.34	$7.48	$23.69