Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $52.56 / $96.51	Facility		$21.60	$52.56	$96.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.93 / $23.86	Professional		$10.33	$11.93	$23.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $7.94 / $21.85	Professional		$2.65	$7.94	$21.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $33.75 / $551.16	Facility		$13.42	$33.75	$551.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $85.09 / $8,639.91	Facility		$65.52	$85.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $17.64 / $43.46	Facility		$8.69	$17.64	$43.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $24.67	Professional		$8.23	$15.28	$24.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $10.59 / $17.93	Professional		$6.09	$10.59	$17.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $32.08 / $81.61	Facility		$17.11	$32.08	$81.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.22 / $12.50	Professional		$7.94	$10.22	$12.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $31.24 / $71.30	Facility		$13.42	$31.24	$71.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $48.01 / $97.52	Facility		$15.54	$48.01	$97.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.93 / $23.98	Professional		$10.33	$11.93	$23.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $20.11 / $43.46	Facility		$8.86	$20.11	$43.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $23.27	Professional		$8.23	$15.28	$23.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Professional		$13.04	$13.04	$13.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $8.21 / $23.04	Professional		$5.56	$8.21	$23.04