Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.31 / $14.28	Facility		$9.30	$9.31	$14.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $20.88 / $47.36	Professional		$16.02	$20.88	$47.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.14 / $43.60	Professional		$17.80	$19.14	$43.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $24.10 / $63.63	Professional		$16.61	$24.10	$63.63
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.79 / $124.09	Professional		$19.07	$19.79	$124.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.20 / $54.58	Professional		$14.21	$21.20	$54.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $28.34 / $28.34	Professional		$21.98	$28.34	$28.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $19.04 / $32.13	Professional		$16.63	$19.04	$32.13
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $24.10 / $35.50	Professional		$20.25	$24.10	$35.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.31 / $14.28	Facility		$9.30	$9.31	$14.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.88 / $48.06	Professional		$17.32	$21.88	$48.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $27.32	Professional		$13.00	$13.00	$27.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $20.87 / $47.15	Professional		$14.00	$20.87	$47.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $27.16 / $27.97	Professional		$27.16	$27.16	$27.97
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $21.57 / $47.29	Professional		$17.12	$21.57	$47.29