Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $35.85 / $99.24	Facility		$7.46	$35.85	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.69 / $5.08	Professional		$2.42	$2.69	$5.08
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 $6.28 / $16.48 / $408.10	Facility		$6.28	$16.48	$408.10
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 $13.85 / $31.75 / $70.68	Facility		$13.85	$31.75	$70.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.91 / $3.30	Professional		$1.79	$2.91	$3.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $15.06 / $259.64	Facility		$6.28	$15.06	$259.64
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 $5.75 / $37.36 / $103.46	Facility		$5.75	$37.36	$103.46
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 $1,003.93 / $2,191.83 / $2,756.03	Facility		$1,003.93	$2,191.83	$2,756.03
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 / $7.09	Facility		$2.99	$2.99	$7.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $7.09 / $7.09	Professional		$2.99	$7.09	$7.09
United Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $102.57 / $133.38	Facility		$54.14	$102.57	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.94 / $6.02	Professional		$1.26	$1.94	$6.02