Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $48.00 / $83.88	Facility		$4.40	$48.00	$83.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.65 / $20.00	Professional		$4.30	$5.65	$20.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.51 / $5.51 / $5.63	Professional	25	$5.51	$5.51	$5.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.80 / $6.97	Professional		$3.61	$4.80	$6.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.38 / $11.21	Professional		$4.34	$5.38	$11.21
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.39 / $10.74	Professional		$4.45	$6.39	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $9.57	Professional		$3.00	$5.00	$9.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.91 / $9.18	Professional		$5.09	$6.91	$9.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $7.87	Professional		$5.39	$5.39	$7.87
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.32 / $8.98	Professional		$4.51	$5.32	$8.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $81.40 / $83.88	Facility		$5.23	$81.40	$83.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.54 / $23.13	Professional		$4.30	$6.54	$23.13
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $6.31 / $10.36 / $20.00	Professional	25	$6.31	$10.36	$20.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.02 / $6.06	Professional		$4.82	$6.02	$6.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.78 / $54.78 / $176.40	Facility		$54.78	$54.78	$176.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.30 / $9.22	Professional		$4.82	$6.30	$9.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.41 / $9.88	Professional		$3.00	$4.41	$9.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.42 / $5.50	Facility		$4.42	$4.42	$5.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.50 / $6.05	Professional		$4.38	$5.50	$6.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.53 / $9.53	Professional		$4.30	$5.53	$9.53