Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $99.48 / $200.16	Facility		$44.69	$99.48	$200.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $25.81 / $61.26	Professional		$6.00	$25.81	$61.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $29.60	Professional		$17.76	$17.76	$29.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $128.90 / $826.01	Facility		$44.76	$128.90	$826.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $20.02	Professional		$19.23	$19.23	$20.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $149.28 / $193.84 / $8,639.91	Facility		$149.28	$193.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Professional		$23.09	$23.09	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $39.42 / $97.79	Facility		$20.48	$39.42	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.28 / $52.05	Professional		$18.64	$34.28	$52.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $23.68 / $40.08	Professional		$13.62	$23.68	$40.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $83.40 / $166.20	Facility		$45.97	$83.40	$166.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $28.50 / $48.64	Professional		$25.16	$28.50	$48.64
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $121.64 / $277.64	Facility		$37.00	$121.64	$277.64
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $20.02	Professional		$19.23	$19.23	$20.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $95.68 / $222.60	Facility		$32.56	$95.68	$222.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.81 / $83.53	Professional		$19.23	$25.81	$83.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $164.91 / $229.42	Facility		$159.61	$164.91	$229.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $44.98 / $97.79	Facility		$19.82	$44.98	$97.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $33.28 / $52.05	Professional		$18.64	$33.28	$52.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $29.60 / $42.14	Professional		$26.05	$29.60	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $19.45 / $51.86	Professional		$13.32	$19.45	$51.86