Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $85.47 / $407.00	Facility		$4.24	$85.47	$407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.17 / $65.20	Professional		$3.02	$3.17	$65.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.72 / $3.15	Professional		$1.90	$2.72	$3.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $6,864.07 / $14,696.32	Facility		$3.42	$6,864.07	$14,696.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $3.27 / $8,459.92	Facility		$2.79	$3.27	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.26	Professional		$3.02	$3.02	$3.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.27 / $4.09	Professional		$3.02	$3.27	$4.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $46.73 / $363.78	Facility		$11.15	$46.73	$363.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $12.81 / $13.55	Professional		$3.57	$12.81	$13.55
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.01 / $14,110.20	Facility		$3.42	$4.01	$14,110.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $69.27 / $564.08	Facility		$3.92	$69.27	$564.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.47 / $65.97	Professional		$2.94	$3.47	$65.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.80 / $27.40	Professional		$5.60	$6.80	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.42	Professional		$3.02	$3.02	$3.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.78	Facility		$2.40	$2.40	$2.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.78	Professional		$2.40	$2.40	$2.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.20 / $6.38	Professional		$3.02	$3.20	$6.38