Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $25.68 / $29.19	Facility		$20.91	$25.68	$29.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $23.50 / $31.18	Professional		$15.96	$23.50	$31.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $32.97 / $32.97	Professional		$32.97	$32.97	$32.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $28.26 / $29.12	Professional		$27.17	$28.26	$29.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $33.88 / $47.55	Professional		$30.80	$33.88	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $38.15	Professional		$29.16	$29.16	$38.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $44.65 / $66.81	Professional		$32.71	$44.65	$66.81
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $28.83 / $32.97	Professional		$27.17	$28.83	$32.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $23.57 / $29.19	Facility		$20.91	$23.57	$29.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $24.86 / $47.57	Professional		$19.01	$24.86	$47.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $46.17 / $61.60	Professional		$27.23	$46.17	$61.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $41.91	Professional		$29.16	$29.16	$41.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $22.48 / $25.01	Facility		$21.09	$22.48	$25.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $23.41 / $26.20	Professional		$21.84	$23.41	$26.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $30.80 / $51.47	Professional		$23.20	$30.80	$51.47