Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $74.70 / $360.12	Facility		$8.47	$74.70	$360.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.69 / $4.48	Professional		$2.42	$2.69	$4.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $4.93	Professional		$1.79	$1.79	$4.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $14.66 / $745.50	Facility		$5.59	$14.66	$745.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Professional		$1.94	$1.94	$1.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $19.51 / $8,639.91	Facility		$15.02	$19.51	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Professional		$2.33	$2.33	$2.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.97 / $9.77	Facility		$2.06	$3.97	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.44 / $5.08	Professional		$1.86	$3.44	$5.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.39 / $4.05	Professional		$1.38	$2.39	$4.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $248.71 / $453.63	Facility		$15.59	$248.71	$453.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $3.00 / $3.30	Professional		$1.79	$3.00	$3.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $14.22 / $185.67	Facility		$9.25	$14.22	$185.67
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Professional		$1.94	$1.94	$1.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.05 / $72.92 / $394.32	Facility		$7.05	$72.92	$394.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.70 / $4.09	Professional		$2.33	$2.70	$4.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.74 / $1,756.00 / $2,262.14	Facility		$1,640.74	$1,756.00	$2,262.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.51 / $13.44	Facility		$2.00	$4.51	$13.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.44 / $5.08	Professional		$1.86	$3.44	$5.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $2.99 / $6.44	Facility		$2.99	$2.99	$6.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $6.44 / $6.44	Professional		$2.99	$6.44	$6.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.91 / $5.22	Professional		$1.35	$1.91	$5.22