Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $11.30 / $82.50	Facility		$2.91	$11.30	$82.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $5.40 / $20.72	Professional		$1.17	$5.40	$20.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.09 / $389.95	Facility		$0.93	$1.09	$389.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $0.92	Professional		$0.91	$0.91	$0.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.92 / $8,639.91	Facility		$0.78	$0.92	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $0.84	Facility		$0.80	$0.84	$0.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Professional		$0.84	$0.84	$0.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $6.38 / $17.14	Facility		$2.02	$6.38	$17.14
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.06 / $374.40	Facility		$0.93	$1.06	$374.40
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.91 / $0.92	Professional		$0.86	$0.91	$0.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $19.80 / $85.88	Facility		$2.23	$19.80	$85.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $5.46 / $20.91	Professional		$1.17	$5.46	$20.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $317.24 / $325.27 / $467.17	Facility		$317.24	$325.27	$467.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $0.84	Facility		$0.80	$0.84	$0.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Professional		$0.84	$0.84	$0.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.06 / $1.23	Facility		$1.06	$1.06	$1.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.23	Professional		$1.06	$1.06	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $1.54	Professional		$0.84	$0.84	$1.54