Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $98.73 / $234.66	Facility		$62.30	$98.73	$234.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $21.19 / $60.77	Professional		$10.32	$21.19	$60.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $16.78 / $19.53	Professional		$10.19	$16.78	$19.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $419.51 / $687.48 / $14,184.43	Facility		$419.51	$687.48	$14,184.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $28.72 / $51.61	Professional		$26.84	$28.72	$51.61
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 $11.75 / $15.83 / $33.58	Professional		$11.75	$15.83	$33.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $100.00	Facility		$13.02	$13.02	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $23.91 / $121.19	Professional		$12.56	$23.91	$121.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $19.02 / $34.70	Professional		$14.31	$19.02	$34.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $122.40 / $237.97	Facility		$39.82	$122.40	$237.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $14.74 / $19.34	Professional		$13.58	$14.74	$19.34
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $667.01 / $1,648.24	Facility		$77.87	$667.01	$1,648.24
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $29.15 / $51.61	Professional		$22.81	$29.15	$51.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $153.22 / $303.24	Facility		$55.52	$153.22	$303.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $21.19 / $55.28	Professional		$10.32	$21.19	$55.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $116.86 / $123.81	Facility		$93.02	$116.86	$123.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.10 / $31.20	Professional		$17.12	$24.10	$31.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $100.00	Facility		$13.02	$13.02	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $23.91 / $121.19	Professional		$11.20	$23.91	$121.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $14.98 / $33.00	Facility		$10.11	$14.98	$33.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.13 / $33.00	Professional		$9.94	$11.13	$33.00
United Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $650.00 / $3,742.00	Facility		$133.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $15.52 / $27.23	Professional		$9.81	$15.52	$27.23