Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $52.55 / $88.40	Facility		$19.07	$52.55	$88.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.07 / $20.25	Professional		$8.98	$11.07	$20.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.43 / $12.39	Professional		$6.20	$7.43	$12.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $50.06 / $778.30	Facility		$17.05	$50.06	$778.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $81.13 / $8,639.91	Facility		$62.48	$81.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $9.66	Professional		$9.66	$9.66	$9.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $16.48 / $41.29	Facility		$8.15	$16.48	$41.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.15 / $21.58	Professional		$7.77	$14.15	$21.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $9.91 / $16.78	Professional		$5.70	$9.91	$16.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $33.72 / $74.79	Facility		$18.39	$33.72	$74.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.69 / $12.00	Professional		$7.43	$10.69	$12.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $44.90 / $105.74	Facility		$14.25	$44.90	$105.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $50.77 / $92.77	Facility		$12.65	$50.77	$92.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.15 / $31.27	Professional		$9.15	$11.15	$31.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.29 / $187.30 / $260.56	Facility		$181.29	$187.30	$260.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $18.82 / $41.29	Facility		$8.28	$18.82	$41.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.15 / $21.58	Professional		$7.77	$14.15	$21.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Facility		$12.39	$12.39	$12.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $12.39 / $17.63	Professional		$10.90	$12.39	$17.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $8.05 / $22.67	Professional		$5.20	$8.05	$22.67