Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $24.04 / $48.08	Facility		$4.95	$24.04	$48.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.95 / $26.00	Professional		$3.80	$4.95	$26.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $19.52 / $699.93	Facility		$6.98	$19.52	$699.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
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 $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $7.56 / $19.55	Facility		$3.83	$7.56	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $6.50 / $8.78	Professional		$2.78	$6.50	$8.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.43 / $7.88	Professional		$2.68	$3.43	$7.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $16.73 / $59.40	Facility		$10.31	$16.73	$59.40
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $18.46 / $43.29	Facility		$6.69	$18.46	$43.29
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $17.46 / $39.97	Facility		$5.99	$17.46	$39.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.82 / $29.34	Professional		$3.87	$5.82	$29.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $420.68 / $442.56 / $1,003.93	Facility		$420.68	$442.56	$1,003.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.74 / $19.55	Facility		$3.89	$7.74	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $6.50 / $8.26	Professional		$2.64	$6.50	$8.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $6.08	Professional		$6.08	$6.08	$6.08
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.82 / $9.89	Professional		$3.20	$5.82	$9.89