Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $70.15 / $125.65	Facility		$23.51	$70.15	$125.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $14.63 / $27.43	Professional		$7.51	$14.63	$27.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $27.67	Professional		$10.06	$10.06	$27.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $72.92 / $552.16	Facility		$25.32	$72.92	$552.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $84.59 / $109.84 / $8,639.91	Facility		$84.59	$109.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $22.33 / $55.42	Facility		$11.02	$22.33	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.20	Professional		$10.56	$19.41	$29.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $9.89 / $22.71	Professional		$6.57	$9.89	$22.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $44.60 / $97.03	Facility		$25.11	$44.60	$97.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $16.00 / $20.04	Professional		$10.06	$16.00	$20.04
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $68.81 / $157.07	Facility		$20.96	$68.81	$157.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $69.26 / $144.09	Facility		$18.32	$69.26	$144.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $14.93 / $42.32	Professional		$13.25	$14.93	$42.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $160.87 / $223.78	Facility		$155.69	$160.87	$223.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $25.48 / $55.42	Facility		$11.23	$25.48	$55.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.20	Professional		$10.56	$19.41	$29.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Facility		$16.77	$16.77	$16.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $16.77 / $23.88	Professional		$14.76	$16.77	$23.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $8.39 / $11.52	Facility		$6.71	$8.39	$11.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.02 / $29.39	Professional		$7.55	$11.02	$29.39