Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $54.54 / $130.01	Facility		$21.26	$54.54	$130.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.00 / $13.58	Professional		$8.06	$9.00	$13.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $16.53	Professional		$6.20	$6.20	$16.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $33.75 / $321.26	Facility		$32.93	$33.75	$321.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $67.63 / $8,639.91	Facility		$52.08	$67.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $8.06	Professional		$8.06	$8.06	$8.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $13.75 / $34.77	Facility		$6.79	$13.75	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $11.98 / $18.20	Professional		$6.52	$11.98	$18.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.26 / $13.99	Professional		$4.75	$8.26	$13.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $28.06 / $69.59	Facility		$15.51	$28.06	$69.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $9.07 / $12.53	Professional		$6.82	$9.07	$12.53
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $34.20 / $407.01	Facility		$29.79	$34.20	$407.01
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $44.69 / $119.56	Facility		$11.50	$44.69	$119.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.02 / $30.17	Professional		$7.75	$9.02	$30.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $284.22 / $395.38	Facility		$275.08	$284.22	$395.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $15.69 / $34.77	Facility		$6.91	$15.69	$34.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $11.98 / $18.20	Professional		$6.52	$11.98	$18.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Facility		$10.33	$10.33	$10.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $10.33 / $14.70	Professional		$9.09	$10.33	$14.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $6.33 / $18.10	Professional		$4.65	$6.33	$18.10