Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $54.12 / $121.37	Facility		$15.81	$54.12	$121.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.74 / $20.25	Professional		$8.69	$10.74	$20.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $7.19	Professional		$5.99	$5.99	$7.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $442.36 / $442.36 / $442.36	Facility		$442.36	$442.36	$442.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.12 / $8,639.91	Facility		$55.54	$72.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $15.96 / $40.20	Facility		$7.88	$15.96	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $13.63 / $21.16	Professional		$7.46	$13.63	$21.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $9.49 / $16.22	Professional		$5.51	$9.49	$16.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $50.81 / $101.52	Facility		$18.78	$50.81	$101.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $442.36 / $442.36 / $560.44	Facility		$442.36	$442.36	$560.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $49.48 / $112.81	Facility		$14.06	$49.48	$112.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.79 / $49.48	Professional		$9.34	$10.79	$49.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,801.67 / $2,266.63	Facility		$819.61	$1,801.67	$2,266.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $18.22 / $40.20	Facility		$8.02	$18.22	$40.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $13.63 / $21.16	Professional		$7.46	$13.63	$21.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Facility		$11.98	$11.98	$11.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.98 / $15.68	Professional		$10.54	$11.98	$15.68
United Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $14.38 / $14.38	Facility		$10.78	$14.38	$14.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $8.21 / $24.11	Professional		$5.39	$8.21	$24.11