Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $54.00 / $3,621.75	Facility		$0.09	$54.00	$3,621.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $70.00	Professional		$0.08	$0.08	$70.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $8.00	Professional		$5.00	$5.00	$8.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.14 / $1,749.50	Facility		$0.10	$0.14	$1,749.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $8,639.91	Facility		$0.08	$0.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.47 / $42.43	Facility		$0.32	$0.47	$42.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.09 / $0.45	Professional		$0.06	$0.09	$0.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $1,749.50	Facility		$0.10	$0.12	$1,749.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $61.88 / $3,292.50	Facility		$0.11	$61.88	$3,292.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $83.05	Professional		$0.08	$0.09	$83.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $629.17 / $678.62 / $911.19	Facility		$629.17	$678.62	$911.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $6.40 / $27.40	Professional		$0.12	$6.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.09	Professional		$0.08	$0.08	$0.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.09	Facility		$0.08	$0.08	$0.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.09	Professional		$0.08	$0.08	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $2.67	Professional		$0.08	$0.08	$2.67