Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $42.61 / $92.16	Facility		$9.84	$42.61	$92.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $9.68	Professional		$5.97	$7.04	$9.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $4.84 / $8.07	Professional		$2.02	$4.84	$8.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $38.04 / $640.92	Facility		$12.96	$38.04	$640.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $52.88 / $8,639.91	Facility		$40.72	$52.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $6.29 / $6.29	Professional		$6.29	$6.29	$6.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $10.76 / $27.17	Facility		$5.59	$10.76	$27.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.50 / $13.96	Professional		$5.13	$9.50	$13.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $6.46 / $10.93	Professional		$3.71	$6.46	$10.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $22.99 / $73.00	Facility		$11.51	$22.99	$73.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.50 / $13.26	Professional		$4.84	$7.50	$13.26
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $35.22 / $80.39	Facility		$10.09	$35.22	$80.39
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $34.90 / $124.99	Facility		$8.07	$34.90	$124.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $12.18	Professional		$5.97	$7.04	$12.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $17.42 / $24.24	Facility		$16.87	$17.42	$24.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $12.26 / $27.17	Facility		$5.41	$12.26	$27.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.50 / $13.96	Professional		$5.13	$9.50	$13.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Facility		$8.07	$8.07	$8.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $8.07 / $11.49	Professional		$7.10	$8.07	$11.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $5.53	Facility		$4.04	$4.04	$5.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.11 / $14.77	Professional		$3.63	$6.11	$14.77