Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $47.84 / $96.75	Facility		$17.30	$47.84	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $7.71 / $22.62	Professional		$6.39	$7.71	$22.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $8.65	Professional		$5.19	$5.19	$8.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $38.76 / $1,407.50	Facility		$13.46	$38.76	$1,407.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $56.60 / $8,639.91	Facility		$43.59	$56.60	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Professional		$6.75	$6.75	$6.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $11.51 / $28.25	Facility		$5.99	$11.51	$28.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.94 / $15.23	Professional		$5.44	$9.94	$15.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.66 / $11.71	Professional		$3.98	$6.66	$11.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $24.64 / $61.00	Facility		$13.01	$24.64	$61.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $7.70 / $10.65	Professional		$5.19	$7.70	$10.65
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $36.57 / $83.48	Facility		$10.81	$36.57	$83.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $44.98 / $99.53	Facility		$11.85	$44.98	$99.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.54 / $21.82	Professional		$6.06	$7.54	$21.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,324.16 / $9,785.49 / $24,222.00	Facility		$8,324.16	$9,785.49	$24,222.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $13.13 / $28.25	Facility		$5.79	$13.13	$28.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.94 / $15.23	Professional		$5.44	$9.94	$15.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Facility		$8.65	$8.65	$8.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.65 / $12.30	Professional		$7.61	$8.65	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.30 / $15.83	Professional		$3.89	$5.30	$15.83