Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $65.29 / $119.85	Facility		$31.62	$65.29	$119.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $13.06 / $26.70	Professional		$6.47	$13.06	$26.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $15.08	Professional		$9.05	$9.05	$15.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $67.45 / $895.59	Facility		$23.42	$67.45	$895.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $98.72 / $8,639.91	Facility		$76.02	$98.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $20.07 / $49.98	Facility		$10.43	$20.07	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.35 / $26.23	Professional		$9.47	$17.35	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $12.06 / $20.42	Professional		$6.94	$12.06	$20.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $42.49 / $91.37	Facility		$23.42	$42.49	$91.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $14.50 / $24.78	Professional		$9.96	$14.50	$24.78
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $63.66 / $145.32	Facility		$18.85	$63.66	$145.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $61.99 / $149.77	Facility		$17.70	$61.99	$149.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.15 / $30.16	Professional		$9.80	$13.15	$30.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $402.59 / $415.96 / $578.64	Facility		$402.59	$415.96	$578.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $22.90 / $49.98	Facility		$10.09	$22.90	$49.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.35 / $26.23	Professional		$9.47	$17.35	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Facility		$15.08	$15.08	$15.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $15.08 / $21.45	Professional		$13.27	$15.08	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $9.35 / $26.41	Professional		$6.33	$9.35	$26.41