Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $41.19 / $75.26	Facility		$14.15	$41.19	$75.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.35 / $9.80	Professional		$4.87	$5.35	$9.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $6.01	Professional		$3.61	$3.61	$6.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $422.95 / $723.35	Facility		$12.83	$422.95	$723.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $39.29 / $8,639.91	Facility		$30.26	$39.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $18.60	Professional		$4.69	$4.69	$18.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $8.01 / $19.55	Facility		$4.16	$8.01	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $7.02 / $10.58	Professional		$3.73	$7.02	$10.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $4.80 / $8.14	Professional		$2.76	$4.80	$8.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $16.39 / $45.60	Facility		$9.03	$16.39	$45.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.37 / $6.60	Professional		$3.61	$5.37	$6.60
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $422.95 / $723.35	Facility		$12.83	$422.95	$723.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $31.14 / $83.22	Facility		$8.41	$31.14	$83.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.35 / $22.84	Professional		$4.69	$5.35	$22.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,325.89 / $1,630.28	Facility		$1,003.93	$1,325.89	$1,630.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $9.11 / $19.55	Facility		$4.03	$9.11	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $6.89 / $10.58	Professional		$3.73	$6.89	$10.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.01 / $8.55	Professional		$5.29	$6.01	$8.55
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.01 / $4.12	Facility		$2.40	$3.01	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.68 / $10.51	Professional		$2.70	$3.68	$10.51