Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $57.82 / $132.38	Facility		$15.15	$57.82	$132.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.84 / $17.89	Professional		$8.63	$12.84	$17.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $14.38 / $23.73	Professional		$7.19	$14.38	$23.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $46.84 / $977.60	Facility		$16.54	$46.84	$977.60
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 $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $19.16 / $47.81	Facility		$9.44	$19.16	$47.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $25.39	Professional		$9.01	$16.52	$25.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.48 / $19.47	Professional		$6.61	$8.48	$19.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $41.19 / $76.27	Facility		$20.71	$41.19	$76.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $10.50 / $12.23	Professional		$8.63	$10.50	$12.23
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $42.19 / $98.94	Facility		$15.95	$42.19	$98.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $55.63 / $145.19	Facility		$13.44	$55.63	$145.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $13.03 / $45.91	Professional		$11.36	$13.03	$45.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $319.95 / $330.59 / $459.88	Facility		$319.95	$330.59	$459.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $21.85 / $47.81	Facility		$9.63	$21.85	$47.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $25.39	Professional		$9.01	$16.52	$25.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $8.92 / $31.17	Professional		$6.47	$8.92	$31.17