Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $27.00 / $195.00	Facility		$0.12	$27.00	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.31	Professional		$0.04	$0.04	$0.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.08 / $2,166.40	Facility		$0.06	$0.08	$2,166.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.04 / $8,639.91	Facility		$0.03	$0.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $1.37 / $5.23	Facility		$0.12	$1.37	$5.23
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.08 / $2,166.40	Facility		$0.06	$0.08	$2,166.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $22.05 / $225.45	Facility		$0.12	$22.05	$225.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.15	Professional		$0.04	$0.05	$0.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,672.79 / $2,081.04	Facility		$1,003.93	$1,672.79	$2,081.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Facility		$0.09	$0.09	$0.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Professional		$0.09	$0.09	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.07	Professional		$0.04	$0.04	$0.07