Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $16.30 / $32.88	Facility		$5.33	$16.30	$32.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.10 / $9.59	Professional		$2.98	$3.10	$9.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $6.27	Professional		$3.80	$3.80	$6.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $14.07 / $328.52	Facility		$4.88	$14.07	$328.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $22.52 / $8,639.91	Facility		$17.34	$22.52	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $10.85	Professional		$2.96	$2.96	$10.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $5.05 / $13.04	Facility		$2.49	$5.05	$13.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $4.45 / $5.92	Professional		$2.17	$4.45	$5.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.24 / $5.15	Professional		$1.44	$2.24	$5.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $10.71 / $20.51	Facility		$7.14	$10.71	$20.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.85 / $6.25	Professional		$2.50	$3.85	$6.25
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $13.27 / $30.30	Facility		$4.75	$13.27	$30.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $15.69 / $30.38	Facility		$4.46	$15.69	$30.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.80 / $13.73	Professional		$2.98	$3.80	$13.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $5.23 / $13.04	Facility		$2.54	$5.23	$13.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $4.45 / $5.92	Professional		$2.17	$4.45	$5.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.80 / $4.90	Professional		$3.34	$3.80	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.27 / $6.95	Professional		$1.71	$2.27	$6.95