Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $55.00 / $123.63	Facility		$21.66	$55.00	$123.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $9.58 / $12.89	Professional		$8.48	$9.58	$12.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $17.72	Professional		$6.44	$6.44	$17.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $42.49 / $778.30	Facility		$14.75	$42.49	$778.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $70.33 / $8,639.91	Facility		$54.16	$70.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $14.30 / $35.86	Facility		$7.06	$14.30	$35.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $12.39 / $19.04	Professional		$6.68	$12.39	$19.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $8.59 / $14.54	Professional		$4.94	$8.59	$14.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $28.54 / $75.20	Facility		$15.36	$28.54	$75.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.13 / $16.76	Professional		$6.44	$9.13	$16.76
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $40.09 / $91.52	Facility		$13.43	$40.09	$91.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $46.08 / $118.08	Facility		$12.61	$46.08	$118.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $9.65 / $25.38	Professional		$8.05	$9.65	$25.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $205.97 / $286.52	Facility		$199.34	$205.97	$286.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $16.32 / $35.86	Facility		$7.19	$16.32	$35.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $12.39 / $19.04	Professional		$6.68	$12.39	$19.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Facility		$10.74	$10.74	$10.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.74 / $15.29	Professional		$9.44	$10.74	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.87 / $18.69	Professional		$4.83	$6.87	$18.69