Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $9.91 / $63.14	Facility		$2.25	$9.91	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.76 / $5.34	Professional		$1.26	$1.76	$5.34
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $206.09 / $441.24	Facility		$1.49	$206.09	$441.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.37 / $8,639.91	Facility		$1.15	$1.37	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.26 / $1.26	Facility		$1.19	$1.26	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $12.42 / $33.97	Facility		$4.68	$12.42	$33.97
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.75 / $423.64	Facility		$1.49	$1.75	$423.64
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $9.68 / $64.94	Facility		$1.98	$9.68	$64.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.76 / $5.34	Professional		$1.26	$1.76	$5.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $95.64 / $123.81	Facility		$93.02	$95.64	$123.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.26 / $1.26	Facility		$1.19	$1.26	$1.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.53	Facility		$1.32	$1.32	$1.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.53	Professional		$1.32	$1.32	$1.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.31	Professional		$1.26	$1.26	$2.31