Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $28.08 / $495.07	Facility		$1.05	$28.08	$495.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $23.26	Professional		$0.35	$0.37	$23.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $50.00	Professional		$36.00	$45.00	$50.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $478.09 / $1,023.62	Facility		$2.29	$478.09	$1,023.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.39 / $8,639.91	Facility		$0.33	$0.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.37	Professional		$0.37	$0.37	$0.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.40	Professional		$0.34	$0.34	$0.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.50	Professional		$0.34	$0.34	$0.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $61.98 / $164.22	Facility		$4.05	$61.98	$164.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.62 / $0.70	Professional		$0.40	$0.62	$0.70
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.69 / $982.80	Facility		$2.29	$2.69	$982.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $32.47 / $497.73	Facility		$0.68	$32.47	$497.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.45 / $20.22	Professional		$0.35	$0.45	$20.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.71 / $13,726.99 / $17,253.55	Facility		$776.71	$13,726.99	$17,253.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $27.40 / $36.79	Professional		$1.60	$27.40	$36.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.45	Professional		$0.34	$0.34	$0.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.01 / $1.18	Facility		$1.01	$1.01	$1.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.18	Professional		$1.01	$1.01	$1.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.54	Professional		$0.36	$0.38	$0.54