Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $27.59	Facility		$18.39	$18.39	$27.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.40 / $27.71	Professional		$18.39	$22.40	$27.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.07 / $23.20	Professional		$20.07	$20.07	$23.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $64.81 / $174.25	Facility		$6.98	$64.81	$174.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $26.39 / $44.11	Professional		$25.43	$26.39	$44.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.67 / $53.14	Professional		$31.54	$39.67	$53.14
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $20.34 / $138.79	Facility		$11.43	$20.34	$138.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $27.59	Facility		$18.39	$18.39	$27.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $22.40 / $34.07	Professional		$17.14	$22.40	$34.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $803.51 / $803.51 / $803.51	Facility		$803.51	$803.51	$803.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $50.10 / $64.20	Professional		$27.00	$50.10	$64.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $15.58 / $23.39	Facility		$10.68	$15.58	$23.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $23.22 / $25.75	Professional		$10.68	$23.22	$25.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $23.82 / $43.90	Professional		$12.81	$23.82	$43.90