Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $51.71 / $139.60	Facility		$14.44	$51.71	$139.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.69 / $15.64	Professional		$6.90	$7.69	$15.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $8.61	Professional		$5.17	$5.17	$8.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $38.47 / $793.71	Facility		$13.36	$38.47	$793.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $56.38 / $8,639.91	Facility		$43.42	$56.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $6.72	Professional		$6.72	$6.72	$6.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $11.47 / $28.25	Facility		$5.96	$11.47	$28.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.91 / $15.23	Professional		$5.44	$9.91	$15.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $6.90 / $11.67	Professional		$3.97	$6.90	$11.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $23.51 / $69.59	Facility		$12.80	$23.51	$69.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.52 / $14.17	Professional		$5.17	$7.52	$14.17
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $36.29 / $82.86	Facility		$10.78	$36.29	$82.86
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $40.11 / $142.43	Facility		$10.47	$40.11	$142.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.69 / $19.72	Professional		$6.38	$7.69	$19.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.87 / $767.83 / $3,931.81	Facility		$741.87	$767.83	$3,931.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $13.08 / $28.25	Facility		$5.77	$13.08	$28.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.91 / $15.23	Professional		$5.44	$9.91	$15.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Facility		$8.61	$8.61	$8.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.61 / $12.26	Professional		$7.59	$8.61	$12.26
United Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.30 / $5.92	Facility		$3.45	$4.30	$5.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.52 / $15.77	Professional		$3.88	$5.52	$15.77