Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $61.56 / $444.96	Facility		$0.26	$61.56	$444.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $52.77	Professional		$0.10	$0.10	$52.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $528.04 / $1,130.58	Facility		$0.13	$528.04	$1,130.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.11 / $8,639.91	Facility		$0.09	$0.11	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.11	Professional		$0.10	$0.10	$0.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.15	Professional		$0.11	$0.11	$0.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $1.21 / $8.08	Facility		$0.48	$1.21	$8.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.16	Professional		$0.14	$0.16	$0.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.15 / $1,085.50	Facility		$0.13	$0.15	$1,085.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $72.90 / $451.14	Facility		$0.20	$72.90	$451.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $52.77	Professional		$0.10	$0.12	$52.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.71 / $6,865.52 / $8,632.62	Facility		$776.71	$6,865.52	$8,632.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $2.90 / $27.40	Professional		$0.40	$2.90	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.20	Facility		$0.18	$0.18	$0.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.20	Professional		$0.18	$0.18	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.17	Professional		$0.10	$0.11	$0.17