Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $153.69 / $990.00	Facility		$0.28	$153.69	$990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $4.29	Professional		$0.19	$0.19	$4.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $26.00	Professional		$23.00	$23.00	$26.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $815.80 / $1,746.66	Facility		$0.28	$815.80	$1,746.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.20 / $8,459.92	Facility		$0.17	$0.20	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.19	Professional		$0.19	$0.19	$0.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.18 / $0.18	Facility		$0.17	$0.18	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.21	Professional		$0.18	$0.18	$0.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.25	Professional		$0.19	$0.19	$0.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $57.80 / $105.23	Facility		$2.40	$57.80	$105.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.47 / $1.62	Professional		$1.20	$1.47	$1.62
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.34 / $1,677.00	Facility		$0.28	$0.34	$1,677.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $32.11 / $990.00	Facility		$0.23	$32.11	$990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $4.29	Professional		$0.19	$0.23	$4.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.10 / $27.40	Professional		$0.60	$1.10	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.18 / $0.18	Facility		$0.17	$0.18	$0.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.24	Professional		$0.18	$0.18	$0.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Facility		$0.36	$0.36	$0.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Professional		$0.36	$0.36	$0.42
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $4.12	Professional		$0.19	$0.20	$4.12