Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $149.19 / $258.91	Facility		$50.21	$149.19	$258.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $33.58 / $63.14	Professional		$20.46	$33.58	$63.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $167.91 / $9,956.90	Facility		$60.01	$167.91	$9,956.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $194.80 / $252.96 / $8,639.91	Facility		$194.80	$252.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $51.42 / $128.22	Facility		$26.71	$51.42	$128.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $44.19 / $67.70	Professional		$24.23	$44.19	$67.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $30.90 / $52.29	Professional		$17.77	$30.90	$52.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $100.44 / $204.52	Facility		$57.33	$100.44	$204.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $32.83 / $37.00	Professional		$23.17	$32.83	$37.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $158.74 / $372.26	Facility		$44.41	$158.74	$372.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $131.60 / $321.12	Facility		$39.78	$131.60	$321.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $33.58 / $64.72	Professional		$25.10	$33.58	$64.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $439.18 / $453.81 / $631.28	Facility		$439.18	$453.81	$631.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $58.67 / $128.22	Facility		$25.85	$58.67	$128.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $44.19 / $67.70	Professional		$24.23	$44.19	$67.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Facility		$38.61	$38.61	$38.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $38.61 / $54.98	Professional		$33.99	$38.61	$54.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.94 / $67.68	Professional		$16.22	$23.94	$67.68