Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $95.64 / $289.08	Facility		$26.49	$95.64	$289.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.27 / $35.08	Professional		$15.33	$19.27	$35.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $69.73 / $4,577.37	Facility		$27.22	$69.73	$4,577.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $118.27 / $8,639.91	Facility		$91.08	$118.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Professional		$18.79	$18.79	$18.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $31.32 / $80.41	Facility		$15.83	$31.32	$80.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $27.16 / $36.18	Professional		$11.34	$27.16	$36.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.21 / $32.61	Professional		$11.08	$14.21	$32.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $64.06 / $145.13	Facility		$37.14	$64.06	$145.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.22 / $37.58	Professional		$14.45	$17.22	$37.58
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $65.92 / $154.60	Facility		$26.02	$65.92	$154.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $71.68 / $234.30	Facility		$23.41	$71.68	$234.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.51 / $60.82	Professional		$15.71	$19.51	$60.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $453.90 / $571.03	Facility		$453.90	$453.90	$571.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $32.08 / $80.41	Facility		$16.13	$32.08	$80.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $27.16 / $34.59	Professional		$11.34	$27.16	$34.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $24.09 / $25.71	Facility		$24.09	$24.09	$25.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.09 / $25.71	Professional		$21.20	$24.09	$25.71
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $14.45 / $41.92	Professional		$10.60	$14.45	$41.92