Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $31.40 / $79.31	Facility		$9.10	$31.40	$79.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $10.69 / $25.00	Professional		$8.25	$10.69	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Professional		$12.81	$12.81	$12.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $12.24 / $22.17	Professional		$9.06	$12.24	$22.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $15.32 / $27.61	Professional		$13.02	$15.32	$27.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $65.00 / $75.00	Facility		$26.52	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $54.94 / $111.17	Professional		$10.29	$54.94	$111.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $27.20	Facility		$20.86	$20.86	$27.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.59 / $12.42	Professional		$7.60	$10.59	$12.42
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $12.24 / $19.64	Professional		$9.06	$12.24	$19.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $17.84 / $152.81	Facility		$8.67	$17.84	$152.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $11.63 / $28.08	Professional		$8.25	$11.63	$28.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $19.30 / $32.20	Professional		$12.07	$19.30	$32.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $65.00 / $75.00	Facility		$26.52	$65.00	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $60.80 / $112.19	Professional		$11.82	$60.80	$112.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $15.15	Facility		$12.89	$12.89	$15.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $13.15 / $15.15	Professional		$12.89	$13.15	$15.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.28 / $22.13	Professional		$12.14	$14.28	$22.13