Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $50.82 / $99.33	Facility		$16.30	$50.82	$99.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.92 / $12.69	Professional		$5.44	$6.92	$12.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $7.77	Professional		$4.66	$4.66	$7.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $63.16 / $1,005.35	Facility		$12.80	$63.16	$1,005.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.25	Professional		$5.05	$5.05	$5.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $50.91 / $8,639.91	Facility		$39.20	$50.91	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $24.81	Professional		$6.06	$6.06	$24.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.35 / $26.08	Facility		$5.37	$10.35	$26.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.09 / $13.54	Professional		$4.80	$9.09	$13.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $6.22 / $10.52	Professional		$3.20	$6.22	$10.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $22.36 / $49.36	Facility		$12.18	$22.36	$49.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $7.50 / $12.77	Professional		$4.66	$7.50	$12.77
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $26.31 / $965.25	Facility		$10.82	$26.31	$965.25
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.25	Professional		$5.05	$5.05	$5.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $41.04 / $109.13	Facility		$9.11	$41.04	$109.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.04 / $26.29	Professional		$5.75	$7.04	$26.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,584.39 / $1,939.09	Facility		$1,003.93	$1,584.39	$1,939.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $11.81 / $26.08	Facility		$5.20	$11.81	$26.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.09 / $13.54	Professional		$4.80	$9.09	$13.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.11 / $13.62	Professional		$3.50	$5.11	$13.62