Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $38.42 / $59.08	Facility		$11.45	$38.42	$59.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.47 / $122.00	Professional		$10.84	$12.47	$122.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,144.83 / $1,144.83 / $1,144.83	Facility		$1,144.83	$1,144.83	$1,144.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
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 $11.02 / $11.02 / $11.02	Professional		$11.02	$11.02	$11.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $18.36 / $46.72	Facility		$9.28	$18.36	$46.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $16.07 / $21.19	Professional		$7.46	$16.07	$21.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.34 / $19.13	Professional		$6.50	$8.34	$19.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Facility		$14.38	$14.38	$14.38
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,144.83 / $1,144.83 / $1,450.40	Facility		$1,144.83	$1,144.83	$1,450.40
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $38.42 / $59.08	Facility		$12.01	$38.42	$59.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.13 / $90.86	Professional		$10.84	$14.13	$90.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.52 / $304.91 / $1,003.93	Facility		$295.52	$304.91	$1,003.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $18.80 / $46.72	Facility		$9.46	$18.80	$46.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $16.07 / $21.16	Professional		$7.46	$16.07	$21.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.13 / $15.68	Professional		$12.43	$14.13	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $8.48 / $25.86	Professional		$5.93	$8.48	$25.86