Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $62.24 / $89.73	Facility		$19.00	$62.24	$89.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.63 / $29.12	Professional		$12.94	$14.63	$29.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $389.83 / $666.71	Facility		$34.40	$389.83	$666.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $105.94 / $8,639.91	Facility		$81.58	$105.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $12.62	Professional		$12.62	$12.62	$12.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $21.55 / $53.24	Facility		$10.63	$21.55	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $12.63 / $21.91	Professional		$7.44	$12.63	$21.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $44.81 / $88.40	Facility		$26.27	$44.81	$88.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $14.28 / $15.50	Professional		$9.71	$14.28	$15.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $248.01 / $531.01	Facility		$16.18	$248.01	$531.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $48.76 / $102.83	Facility		$16.53	$48.76	$102.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.66 / $66.81	Professional		$12.52	$14.66	$66.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $235.28 / $243.14 / $338.21	Facility		$235.28	$243.14	$338.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $24.57 / $53.24	Facility		$10.84	$24.57	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Facility		$16.18	$16.18	$16.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $16.18 / $23.03	Professional		$14.24	$16.18	$23.03
United Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Facility		$9.50	$9.50	$9.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.52 / $28.15	Professional		$7.28	$10.52	$28.15