Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $18.27 / $44.94	Facility		$5.70	$18.27	$44.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.44 / $37.00	Professional		$2.19	$2.44	$37.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $54.00	Professional		$1.62	$1.62	$54.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $10.62 / $201.61	Facility		$3.69	$10.62	$201.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $17.67 / $8,639.91	Facility		$13.61	$17.67	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Professional		$2.11	$2.11	$2.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $3.59 / $8.69	Facility		$1.78	$3.59	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $3.06 / $4.65	Professional		$1.71	$3.06	$4.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $2.02 / $3.66	Professional		$1.24	$2.02	$3.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $7.73 / $40.74	Facility		$3.82	$7.73	$40.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.50 / $4.44	Professional		$1.79	$2.50	$4.44
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $10.02 / $22.88	Facility		$3.38	$10.02	$22.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $11.25 / $49.36	Facility		$3.49	$11.25	$49.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.40 / $11.15	Professional		$2.02	$2.40	$11.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $67.15 / $93.40	Facility		$64.98	$67.15	$93.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $4.01 / $8.69	Facility		$1.81	$4.01	$8.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.89 / $4.65	Professional		$1.71	$2.89	$4.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Facility		$2.70	$2.70	$2.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.70 / $3.84	Professional		$2.38	$2.70	$3.84
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.77 / $5.13	Professional		$1.22	$1.77	$5.13