Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $55.84 / $107.23	Facility		$19.87	$55.84	$107.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $11.70 / $18.45	Professional		$9.16	$11.70	$18.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.06 / $13.44	Professional		$6.72	$8.06	$13.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $56.34 / $1,517.34	Facility		$20.14	$56.34	$1,517.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $87.95 / $8,639.91	Facility		$67.73	$87.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Professional		$10.48	$10.48	$10.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $17.91 / $44.55	Facility		$8.84	$17.91	$44.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $15.69 / $23.70	Professional		$8.39	$15.69	$23.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $10.75 / $18.20	Professional		$6.18	$10.75	$18.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $33.96 / $71.11	Facility		$18.43	$33.96	$71.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.00 / $14.30	Professional		$8.06	$13.00	$14.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $53.04 / $124.91	Facility		$15.46	$53.04	$124.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $53.25 / $111.30	Facility		$13.44	$53.25	$111.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.70 / $38.14	Professional		$10.08	$11.70	$38.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $305.68 / $305.68 / $384.58	Facility		$305.68	$305.68	$384.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $20.41 / $44.55	Facility		$9.00	$20.41	$44.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $15.69 / $23.70	Professional		$8.39	$15.69	$23.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.44 / $19.12	Professional		$11.83	$13.44	$19.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Facility		$7.88	$7.88	$7.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.82 / $23.53	Professional		$6.05	$8.82	$23.53