Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $13.10 / $388.07	Facility		$2.20	$13.10	$388.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.39 / $51.14	Professional		$1.99	$2.39	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.72 / $2.21	Professional		$1.20	$1.72	$2.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.19 / $2,585.52	Facility		$1.86	$2.19	$2,585.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.16 / $8,459.92	Facility		$1.84	$2.16	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.99 / $1.99	Facility		$1.88	$1.99	$1.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.16	Professional		$1.99	$1.99	$2.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.16 / $2.99	Professional		$2.06	$2.16	$2.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $20.65 / $48.07	Facility		$6.40	$20.65	$48.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $8.10 / $9.10	Professional		$2.36	$8.10	$9.10
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.12 / $2,482.40	Facility		$1.86	$2.12	$2,482.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $13.15 / $221.00	Facility		$1.99	$13.15	$221.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.65 / $50.80	Professional		$1.96	$2.65	$50.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.71 / $16,618.72 / $20,900.04	Facility		$776.71	$16,618.72	$20,900.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.50 / $27.40	Professional		$2.90	$3.50	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.99 / $1.99	Facility		$1.88	$1.99	$1.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.25	Professional		$1.99	$1.99	$2.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.92	Facility		$2.52	$2.52	$2.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.92	Professional		$2.52	$2.52	$2.92
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.11 / $3.64	Professional		$1.99	$2.11	$3.64