Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $113.60 / $488.62	Facility		$4.68	$113.60	$488.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.75 / $10.57	Professional		$2.73	$2.75	$10.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.88 / $1,643.76	Facility		$3.30	$3.88	$1,643.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.96 / $8,459.92	Facility		$2.52	$2.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Professional		$2.83	$2.83	$2.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.73 / $2.73	Facility		$2.57	$2.73	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.96	Professional		$2.73	$2.73	$2.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.96 / $3.81	Professional		$2.83	$2.96	$3.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $24.72 / $41.21	Facility		$18.50	$24.72	$41.21
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.77 / $1,578.20	Facility		$3.30	$3.77	$1,578.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $125.86 / $528.00	Facility		$4.53	$125.86	$528.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.75 / $11.71	Professional		$2.73	$2.75	$11.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.40 / $12.60	Professional		$7.80	$10.40	$12.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.73 / $2.73	Facility		$2.57	$2.73	$2.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.23	Professional		$2.73	$2.73	$3.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.75	Facility		$3.24	$3.24	$3.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.75	Professional		$3.24	$3.24	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.89 / $4.71	Professional		$2.73	$2.89	$4.71