Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $62.84 / $189.64	Facility		$13.73	$62.84	$189.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.36 / $44.86	Professional		$10.16	$12.36	$44.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $22.65	Professional		$8.24	$8.24	$22.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $54.55 / $523.34	Facility		$18.94	$54.55	$523.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $89.88 / $8,639.91	Facility		$69.22	$89.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $10.71	Professional		$10.71	$10.71	$10.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $18.27 / $45.64	Facility		$9.50	$18.27	$45.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $24.12	Professional		$8.53	$15.69	$24.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.61 / $18.59	Professional		$6.32	$10.61	$18.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $38.61 / $105.55	Facility		$19.17	$38.61	$105.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.04 / $14.30	Professional		$8.24	$12.04	$14.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $51.47 / $117.49	Facility		$17.16	$51.47	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $54.51 / $173.88	Facility		$11.67	$54.51	$173.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.44 / $56.70	Professional		$10.85	$12.44	$56.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $125.46 / $174.52	Facility		$121.41	$125.46	$174.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $20.86 / $45.64	Facility		$9.19	$20.86	$45.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $24.12	Professional		$8.53	$15.69	$24.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13.73 / $13.73	Facility		$13.73	$13.73	$13.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $13.73 / $19.54	Professional		$12.08	$13.73	$19.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $9.10 / $29.71	Professional		$6.18	$9.10	$29.71