Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $69.88 / $145.22	Facility		$24.15	$69.88	$145.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.76 / $59.04	Professional		$8.64	$14.76	$59.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $9.77 / $11.99	Professional		$3.26	$9.77	$11.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $73.47 / $1,218.64	Facility		$29.21	$73.47	$1,218.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $82.24 / $106.79 / $8,639.91	Facility		$82.24	$106.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.72 / $54.33	Facility		$10.72	$21.72	$54.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $18.59 / $28.77	Professional		$10.25	$18.59	$28.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $13.04 / $22.07	Professional		$7.50	$13.04	$22.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $42.78 / $102.44	Facility		$24.20	$42.78	$102.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.50 / $19.41	Professional		$9.77	$15.50	$19.41
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $70.01 / $155.21	Facility		$29.21	$70.01	$155.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $64.70 / $174.12	Facility		$19.13	$64.70	$174.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.76 / $41.16	Professional		$11.41	$14.76	$41.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $182.31 / $253.61	Facility		$176.44	$182.31	$253.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $24.78 / $54.33	Facility		$10.92	$24.78	$54.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $18.36 / $28.77	Professional		$10.25	$18.36	$28.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.30 / $23.21	Professional		$14.34	$16.30	$23.21
United Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $12.35 / $32.81	Professional		$7.34	$12.35	$32.81