Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $57.89 / $118.50	Facility		$19.14	$57.89	$118.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $12.15 / $22.33	Professional		$4.80	$12.15	$22.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $13.68	Professional		$8.21	$8.21	$13.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $522.36 / $1,404.20	Facility		$29.07	$522.36	$1,404.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $89.48 / $8,639.91	Facility		$68.91	$89.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $10.67	Professional		$10.67	$10.67	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $18.21 / $45.64	Facility		$8.99	$18.21	$45.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $24.12	Professional		$8.53	$15.69	$24.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.07 / $18.52	Professional		$5.08	$8.07	$18.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $36.81 / $78.52	Facility		$19.34	$36.81	$78.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $13.00 / $14.30	Professional		$8.21	$13.00	$14.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $57.70 / $1,118.40	Facility		$44.37	$57.70	$1,118.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $56.50 / $124.50	Facility		$15.84	$56.50	$124.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $12.36 / $34.54	Professional		$10.25	$12.36	$34.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $896.13 / $971.57 / $1,187.41	Facility		$896.13	$971.57	$1,187.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $20.76 / $45.64	Facility		$9.16	$20.76	$45.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.69 / $24.12	Professional		$8.53	$15.69	$24.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.45 / $19.45	Professional		$19.45	$19.45	$19.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.98 / $25.99	Professional		$5.75	$8.98	$25.99