Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $63.80 / $141.00	Facility		$17.42	$63.80	$141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.58 / $30.62	Professional		$11.64	$13.58	$30.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $54.39 / $1,192.80	Facility		$21.23	$54.39	$1,192.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $89.66 / $8,639.91	Facility		$69.04	$89.66	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $14.54 / $14.54	Professional		$14.54	$14.54	$14.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $24.24 / $61.94	Facility		$12.25	$24.24	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $21.04 / $27.91	Professional		$8.53	$21.04	$27.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.00 / $25.24	Professional		$8.57	$11.00	$25.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $48.23 / $107.85	Facility		$29.43	$48.23	$107.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $12.09 / $15.85	Professional		$11.18	$12.09	$15.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $51.42 / $120.58	Facility		$20.13	$51.42	$120.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $61.93 / $155.30	Facility		$16.22	$61.93	$155.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.54 / $64.33	Professional		$12.20	$14.54	$64.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $437.69 / $437.69 / $437.69	Facility		$437.69	$437.69	$437.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $24.83 / $61.94	Facility		$12.48	$24.83	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $21.04 / $26.85	Professional		$8.53	$21.04	$26.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $19.48	Facility		$18.64	$18.64	$19.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $18.64 / $19.48	Professional		$16.39	$18.64	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $31.69	Professional		$7.83	$11.18	$31.69