Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $78.83 / $149.19	Facility		$28.62	$78.83	$149.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $16.54 / $24.97	Professional		$14.98	$16.54	$24.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $18.96	Professional		$11.38	$11.38	$18.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $84.40 / $577.51	Facility		$29.31	$84.40	$577.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.67 / $124.24 / $8,639.91	Facility		$95.67	$124.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $25.24 / $63.02	Facility		$12.46	$25.24	$63.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $21.42 / $33.43	Professional		$11.38	$21.42	$33.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $15.17 / $25.67	Professional		$8.72	$15.17	$25.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $50.43 / $109.20	Facility		$26.51	$50.43	$109.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.91 / $18.00	Professional		$11.38	$15.91	$18.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $79.65 / $181.80	Facility		$23.70	$79.65	$181.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $73.25 / $185.96	Facility		$20.73	$73.25	$185.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.16 / $47.87	Professional		$14.22	$17.16	$47.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $101.17 / $104.54 / $145.41	Facility		$101.17	$104.54	$145.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $28.83 / $63.02	Facility		$12.69	$28.83	$63.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $21.42 / $27.36	Professional		$11.38	$21.42	$27.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $18.96 / $27.01	Professional		$16.68	$18.96	$27.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.32 / $34.70	Professional		$8.52	$12.32	$34.70