Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $22.92 / $44.99	Facility		$6.44	$22.92	$44.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.73 / $26.26	Professional		$3.33	$3.73	$26.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.56 / $85.00	Professional		$2.14	$2.56	$85.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $19.61 / $165.00	Facility		$6.68	$19.61	$165.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $27.94 / $8,639.91	Facility		$21.52	$27.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.70 / $14.13	Facility		$2.95	$5.70	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.30 / $5.78	Professional		$1.96	$3.30	$5.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $11.62 / $22.85	Facility		$6.34	$11.62	$22.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.31 / $4.40	Professional		$2.56	$3.31	$4.40
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $18.14 / $41.43	Facility		$5.34	$18.14	$41.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $17.78 / $49.72	Facility		$4.76	$17.78	$49.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.73 / $8.81	Professional		$3.20	$3.73	$8.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $265.38 / $274.19 / $381.43	Facility		$265.38	$274.19	$381.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $6.48 / $14.13	Facility		$2.86	$6.48	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
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 / $6.08	Professional		$3.76	$4.26	$6.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.56 / $7.43	Professional		$1.92	$2.56	$7.43