Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $30.08 / $66.00	Facility		$8.61	$30.08	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.91 / $9.68	Professional		$5.56	$5.91	$9.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $10.94	Professional		$3.98	$3.98	$10.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $25.55 / $387.66	Facility		$8.86	$25.55	$387.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.02 / $8,639.91	Facility		$32.36	$42.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Professional		$5.17	$5.17	$5.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $8.83 / $21.73	Facility		$4.59	$8.83	$21.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.65 / $11.42	Professional		$4.19	$7.65	$11.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $5.25 / $8.98	Professional		$3.05	$5.25	$8.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $17.55 / $39.20	Facility		$9.97	$17.55	$39.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.64 / $10.35	Professional		$3.98	$5.64	$10.35
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $24.11 / $55.04	Facility		$8.28	$24.11	$55.04
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $27.21 / $69.59	Facility		$6.63	$27.21	$69.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.91 / $11.22	Professional		$5.37	$5.91	$11.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $145.29 / $202.11	Facility		$140.61	$145.29	$202.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $10.01 / $21.73	Facility		$4.44	$10.01	$21.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.65 / $11.42	Professional		$4.19	$7.65	$11.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Facility		$6.63	$6.63	$6.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.63 / $9.14	Professional		$5.83	$6.63	$9.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $4.22 / $13.34	Professional		$2.98	$4.22	$13.34