Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $25.20 / $86.90	Facility		$8.30	$25.20	$86.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.99 / $10.00	Professional		$4.59	$4.99	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.60 / $5.60	Professional		$3.36	$5.60	$5.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $181.90 / $311.10	Facility		$11.74	$181.90	$311.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $36.06 / $8,639.91	Facility		$27.77	$36.06	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $7.46 / $18.47	Facility		$3.68	$7.46	$18.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.50 / $9.73	Professional		$3.42	$6.50	$9.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.30 / $7.58	Professional		$2.58	$3.30	$7.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $15.27 / $47.81	Facility		$7.75	$15.27	$47.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.08 / $5.50	Professional		$3.36	$5.08	$5.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $181.90 / $311.10	Facility		$11.74	$181.90	$311.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $24.03 / $91.08	Facility		$6.58	$24.03	$91.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.00 / $23.13	Professional		$4.42	$5.00	$23.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,456.69 / $1,503.42 / $1,959.49	Facility		$1,456.69	$1,503.42	$1,959.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $8.36 / $18.47	Facility		$3.75	$8.36	$18.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.50 / $9.73	Professional		$3.42	$6.50	$9.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Facility		$5.60	$5.60	$5.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $5.60 / $7.84	Professional		$4.93	$5.60	$7.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.58 / $10.25	Professional		$2.35	$3.58	$10.25