Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $27.72 / $56.00	Facility		$6.88	$27.72	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.56 / $7.02	Professional		$3.22	$3.56	$7.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $86.00	Professional		$2.57	$2.57	$86.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $361.32 / $617.95	Facility		$7.64	$361.32	$617.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.79 / $2.90	Professional		$2.36	$2.79	$2.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $25.75 / $8,639.91	Facility		$19.82	$25.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $12.41	Professional		$3.35	$3.35	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $5.58 / $14.13	Facility		$2.97	$5.58	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $4.96 / $6.77	Professional		$2.49	$4.96	$6.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.43 / $5.81	Professional		$1.97	$3.43	$5.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $11.54 / $25.53	Facility		$6.07	$11.54	$25.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.00 / $8.01	Professional		$2.57	$4.00	$8.01
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $361.32 / $617.95	Facility		$7.64	$361.32	$617.95
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.79 / $2.90	Professional		$2.36	$2.79	$2.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $21.02 / $68.00	Facility		$4.71	$21.02	$68.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.57 / $8.61	Professional		$3.22	$3.57	$8.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,202.47 / $1,471.69	Facility		$1,003.93	$1,202.47	$1,471.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $5.96 / $14.13	Facility		$2.87	$5.96	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $4.96 / $6.77	Professional		$2.49	$4.96	$6.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $5.59 / $5.59	Professional		$5.59	$5.59	$5.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.29 / $7.29	Professional		$2.36	$4.29	$7.29