Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $26.11 / $78.44	Facility		$8.65	$26.11	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.68 / $13.95	Professional		$4.40	$4.68	$13.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.11 / $5.18	Professional		$2.59	$3.11	$5.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $22.59 / $685.38	Facility		$8.07	$22.59	$685.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $33.90 / $8,639.91	Facility		$26.11	$33.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $6.90 / $17.39	Facility		$3.41	$6.90	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $8.89	Professional		$3.26	$5.78	$8.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $7.01	Professional		$2.38	$3.06	$7.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $13.84 / $34.90	Facility		$7.78	$13.84	$34.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.62 / $5.00	Professional		$3.11	$4.62	$5.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $21.36 / $50.09	Facility		$5.96	$21.36	$50.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $22.40 / $62.72	Facility		$7.04	$22.40	$62.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.68 / $21.39	Professional		$4.09	$4.68	$21.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,564.54 / $1,968.27	Facility		$819.61	$1,564.54	$1,968.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.85 / $17.39	Facility		$3.47	$7.85	$17.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $8.89	Professional		$3.26	$5.78	$8.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.18 / $7.36	Professional		$4.55	$5.18	$7.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.32 / $9.48	Professional		$2.33	$3.32	$9.48