Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $24.93 / $62.54	Facility		$8.96	$24.93	$62.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.87 / $7.74	Professional		$3.50	$3.87	$7.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $4.26	Professional		$2.56	$2.56	$4.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $20.10 / $781.28	Facility		$6.98	$20.10	$781.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $27.94 / $8,639.91	Facility		$21.52	$27.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $5.70 / $14.13	Facility		$2.80	$5.70	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.42 / $5.78	Professional		$1.96	$3.42	$5.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $11.41 / $27.60	Facility		$6.34	$11.41	$27.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.63 / $7.02	Professional		$2.56	$3.63	$7.02
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $18.96 / $43.29	Facility		$5.34	$18.96	$43.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $21.20 / $66.20	Facility		$5.55	$21.20	$66.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.93 / $17.64	Professional		$3.37	$3.93	$17.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $2,137.03 / $2,637.55	Facility		$1,003.93	$2,137.03	$2,637.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $6.48 / $14.13	Facility		$2.86	$6.48	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.26 / $6.08	Professional		$3.76	$4.26	$6.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.99 / $7.81	Professional		$1.92	$2.99	$7.81