Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $26.89 / $59.00	Facility		$19.60	$26.89	$59.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $29.06 / $68.64	Professional		$22.40	$29.06	$68.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $46.44 / $46.44	Professional		$46.44	$46.44	$46.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $35.79 / $128.05	Facility		$27.49	$35.79	$128.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $23.37 / $27.49	Professional		$23.37	$23.37	$27.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $24.44 / $8,639.91	Facility		$20.77	$24.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $41.00 / $109.85	Facility		$15.64	$41.00	$109.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $32.29 / $98.50	Facility		$23.84	$32.29	$98.50
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.37 / $27.49	Professional		$23.22	$23.37	$27.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $38.36 / $87.08	Facility		$19.89	$38.36	$87.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $28.47 / $66.00	Professional		$22.40	$28.47	$66.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $134.26 / $202.84	Facility		$120.36	$134.26	$202.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $19.77 / $20.17	Facility		$19.77	$19.77	$20.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $25.14 / $38.19	Professional		$20.87	$25.14	$38.19