Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $134.44 / $443.37	Facility		$57.93	$134.44	$443.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $11.27 / $43.51	Professional		$5.70	$11.27	$43.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $11.12 / $12.69	Professional		$5.70	$11.12	$12.69
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $3,533.67 / $6,043.50	Facility		$89.78	$3,533.67	$6,043.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $5,000.00 / $77,850.02	Facility		$56.85	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.64 / $19.23	Professional		$6.61	$8.64	$19.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $15.28 / $756.00	Facility		$7.34	$15.28	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $20.60 / $31.03	Professional		$6.12	$20.60	$31.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Facility		$14.39	$14.39	$14.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $9.88 / $18.70	Professional		$6.84	$9.88	$18.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $127.11 / $242.78	Facility		$54.96	$127.11	$242.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.70 / $230.75	Professional		$6.22	$6.70	$230.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $3,533.67 / $6,043.50	Facility		$89.78	$3,533.67	$6,043.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $162.88 / $477.46	Facility		$54.50	$162.88	$477.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $11.89 / $44.43	Professional		$5.77	$11.89	$44.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,876.85 / $2,297.01	Facility		$1,003.93	$1,876.85	$2,297.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $19.39 / $30.00	Professional		$9.63	$19.39	$30.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $13.67 / $756.00	Facility		$7.34	$13.67	$756.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $19.68 / $29.36	Professional		$6.12	$19.68	$29.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.00 / $6.61	Professional		$5.91	$6.00	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.15 / $18.30	Professional		$6.93	$10.15	$18.30