Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $10.17 / $21.08	Facility		$8.31	$10.17	$21.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.94 / $22.55	Professional		$7.76	$14.94	$22.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $16.32 / $19.42	Professional		$15.23	$16.32	$19.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.92 / $17.92 / $17.92	Professional	25	$17.92	$17.92	$17.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.44 / $29.87	Professional		$16.37	$20.44	$29.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.95 / $32.54	Professional		$17.30	$17.95	$32.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Facility		$19.66	$19.66	$19.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $26.41 / $35.81	Professional		$20.53	$26.41	$35.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $19.91 / $22.80	Professional		$18.51	$19.91	$22.80
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $22.80 / $22.80 / $22.80	Professional	25	$22.80	$22.80	$22.80
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $20.44 / $33.77	Professional		$17.04	$20.44	$33.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $10.17 / $16.59	Facility		$8.31	$10.17	$16.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $15.47 / $30.45	Professional		$8.31	$15.47	$30.45
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $26.15 / $40.50	Professional		$11.63	$26.15	$40.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $17.79 / $17.79	Facility		$8.36	$17.79	$17.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.30 / $19.04	Professional		$8.71	$15.30	$19.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $19.43 / $33.99	Professional		$15.01	$19.43	$33.99