Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $94.50 / $654.67	Facility		$9.90	$94.50	$654.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $23.66 / $79.44	Professional		$0.15	$23.66	$79.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.00 / $21.00	Professional		$14.00	$15.00	$21.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.16	Professional		$0.15	$0.16	$0.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.09 / $8,459.92	Facility		$0.93	$1.09	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.09	Professional		$1.09	$1.09	$1.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.15 / $85.00	Facility		$0.14	$0.15	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.20	Professional		$0.15	$0.16	$0.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $1.56 / $7.10	Facility		$0.36	$1.56	$7.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.19 / $0.99	Professional		$0.17	$0.19	$0.99
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.16	Professional		$0.15	$0.16	$0.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $98.11 / $713.61	Facility		$14.45	$98.11	$713.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $18.12 / $80.00	Professional		$0.15	$18.12	$80.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $924.50 / $959.31 / $1,206.86	Facility		$924.50	$959.31	$1,206.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.25 / $0.39	Professional		$0.15	$0.25	$0.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.15 / $85.00	Facility		$0.14	$0.15	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.16	Professional		$0.15	$0.15	$0.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.20	Facility		$0.17	$0.17	$0.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.20	Professional		$0.17	$0.17	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.32	Professional		$0.15	$0.15	$0.32