Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $38.17 / $79.39	Facility		$12.56	$38.17	$79.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.63 / $9.07	Professional		$5.04	$5.63	$9.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $6.47	Professional		$3.88	$3.88	$6.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $28.71 / $645.73	Facility		$9.97	$28.71	$645.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $42.38 / $8,639.91	Facility		$32.64	$42.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $20.14	Professional		$5.05	$5.05	$20.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.63 / $21.73	Facility		$4.47	$8.63	$21.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $7.43 / $11.42	Professional		$4.04	$7.43	$11.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $8.76	Professional		$2.98	$3.82	$8.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $18.22 / $37.20	Facility		$10.05	$18.22	$37.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.27 / $10.64	Professional		$4.26	$6.27	$10.64
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $27.10 / $61.84	Facility		$9.01	$27.10	$61.84
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $32.00 / $82.56	Facility		$8.41	$32.00	$82.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.76 / $21.19	Professional		$4.84	$5.76	$21.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $95.64 / $127.11	Facility		$92.40	$95.64	$127.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.83 / $21.73	Facility		$4.34	$9.83	$21.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $7.27 / $11.42	Professional		$4.04	$7.27	$11.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Facility		$6.47	$6.47	$6.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $6.47 / $9.22	Professional		$5.69	$6.47	$9.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.97 / $11.34	Professional		$2.72	$3.97	$11.34