Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $210.82 / $368.02	Facility		$93.83	$210.82	$368.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.06 / $186.50	Professional		$35.72	$39.06	$186.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $28.58 / $47.63	Professional		$28.58	$28.58	$47.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $189.19 / $4,035.14	Facility		$65.69	$189.19	$4,035.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $240.18 / $311.89 / $8,639.91	Facility		$240.18	$311.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $63.43 / $157.56	Facility		$31.31	$63.43	$157.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $54.52 / $82.51	Professional		$30.60	$54.52	$82.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $28.10 / $64.48	Professional		$21.91	$28.10	$64.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $127.01 / $302.39	Facility		$69.84	$127.01	$302.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $31.44 / $45.50	Professional		$28.58	$31.44	$45.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $59.54 / $178.53 / $407.51	Facility		$59.54	$178.53	$407.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $200.99 / $416.67	Facility		$57.16	$200.99	$416.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $39.06 / $116.16	Professional		$36.49	$39.06	$116.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $376.55 / $389.08 / $541.24	Facility		$376.55	$389.08	$541.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $70.92 / $157.56	Facility		$31.89	$70.92	$157.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $54.52 / $82.51	Professional		$30.60	$54.52	$82.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $47.63 / $47.63	Facility		$47.63	$47.63	$47.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $47.63 / $67.79	Professional		$41.91	$47.63	$67.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $31.29 / $82.88	Professional		$21.43	$31.29	$82.88