Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $231.47 / $912.50	Facility		$0.83	$231.47	$912.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.68 / $318.62	Professional		$0.63	$0.68	$318.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $63.00	Professional		$38.00	$38.00	$63.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $11,386.05 / $24,378.09	Facility		$0.67	$11,386.05	$24,378.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.68 / $8,459.92	Facility		$0.57	$0.68	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.60 / $0.60	Facility		$0.59	$0.60	$0.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.65	Professional		$0.60	$0.60	$0.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $0.88	Professional		$0.64	$0.64	$0.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $37.72 / $104.97	Facility		$2.58	$37.72	$104.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.91 / $4.05	Professional		$0.67	$0.91	$4.05
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.79 / $23,405.85	Facility		$0.67	$0.79	$23,405.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $231.47 / $4,128.00	Facility		$0.63	$231.47	$4,128.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.88 / $315.14	Professional		$0.43	$0.88	$315.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $10.30 / $27.40	Professional		$0.96	$10.30	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.60 / $0.60	Facility		$0.59	$0.60	$0.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.71	Professional		$0.60	$0.60	$0.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.57 / $0.67	Facility		$0.57	$0.57	$0.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.67	Professional		$0.57	$0.57	$0.67
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $5.30	Professional		$0.63	$0.67	$5.30