Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $4.46 / $4,777.00	Facility		$2.02	$4.46	$4,777.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.81 / $117.82	Professional		$2.79	$2.81	$117.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.94 / $640.59	Facility		$1.65	$1.94	$640.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $3.03 / $8,459.92	Facility		$2.59	$3.03	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.79 / $2.79	Facility		$2.63	$2.79	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.90 / $3.49	Professional		$2.79	$2.90	$3.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $4.28 / $71.04	Facility		$3.13	$4.28	$71.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.42 / $2.83	Professional		$1.79	$2.42	$2.83
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.88 / $615.04	Facility		$1.65	$1.88	$615.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $4.83 / $1,408.43	Facility		$1.64	$4.83	$1,408.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.81 / $420.00	Professional		$1.60	$2.81	$420.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $78.00 / $100.80	Professional		$27.40	$78.00	$100.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.79 / $2.79	Facility		$2.63	$2.79	$2.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $9.01 / $10.46	Facility		$9.01	$9.01	$10.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $10.46	Professional		$9.01	$9.01	$10.46
United Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.96 / $5.11	Professional		$2.79	$2.96	$5.11