Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $25.18 / $49.29	Facility		$5.64	$25.18	$49.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.20 / $4.67	Professional		$2.97	$3.20	$4.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $324.74 / $324.74 / $324.74	Facility		$324.74	$324.74	$324.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $23.23 / $8,639.91	Facility		$17.89	$23.23	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $10.85	Professional		$3.33	$3.33	$10.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $5.56 / $14.13	Facility		$2.80	$5.56	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $4.96 / $6.35	Professional		$2.17	$4.96	$6.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.52 / $5.78	Professional		$1.96	$2.52	$5.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $10.02 / $22.80	Facility		$6.69	$10.02	$22.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.82 / $3.50	Professional		$2.56	$2.82	$3.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $324.74 / $324.74 / $411.42	Facility		$324.74	$324.74	$411.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $15.28 / $49.29	Facility		$4.49	$15.28	$49.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.50 / $14.74	Professional		$2.62	$3.50	$14.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $58.44 / $81.29	Facility		$56.56	$58.44	$81.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $5.70 / $14.13	Facility		$2.86	$5.70	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $4.96 / $6.35	Professional		$2.17	$4.96	$6.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.26 / $5.05	Professional		$3.76	$4.26	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.26 / $6.41	Professional		$2.35	$4.26	$6.41