Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $23.29 / $42.55	Facility		$6.54	$23.29	$42.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.86 / $6.66	Professional		$4.18	$4.86	$6.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $23.26 / $234.28	Facility		$8.96	$23.26	$234.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $36.54 / $8,639.91	Facility		$28.15	$36.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Professional		$4.34	$4.34	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $7.42 / $18.47	Facility		$3.67	$7.42	$18.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.20 / $9.73	Professional		$3.57	$6.20	$9.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.29 / $7.54	Professional		$1.44	$3.29	$7.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $17.21 / $28.54	Facility		$11.65	$17.21	$28.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.34 / $7.80	Professional		$3.34	$3.34	$7.80
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $21.36 / $47.62	Facility		$8.38	$21.36	$47.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $17.04 / $40.64	Facility		$6.53	$17.04	$40.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.88 / $23.00	Professional		$4.01	$4.88	$23.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $82.62 / $114.93	Facility		$79.97	$82.62	$114.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $8.48 / $18.47	Facility		$3.73	$8.48	$18.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.20 / $9.73	Professional		$3.57	$6.20	$9.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.57 / $7.95	Professional		$4.90	$5.57	$7.95
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $9.36	Facility		$4.68	$4.68	$9.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.42 / $10.19	Professional		$2.34	$3.42	$10.19