Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $91.06 / $181.12	Facility		$28.90	$91.06	$181.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $19.32 / $39.50	Professional		$5.32	$19.32	$39.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $13.34 / $36.68	Professional		$4.45	$13.34	$36.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $90.72 / $895.59	Facility		$31.50	$90.72	$895.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.11 / $145.59 / $8,639.91	Facility		$112.11	$145.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $17.34 / $17.34	Professional		$17.34	$17.34	$17.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $29.60 / $73.89	Facility		$15.38	$29.60	$73.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $25.61 / $38.93	Professional		$13.98	$25.61	$38.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $30.10	Professional		$10.23	$17.78	$30.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $59.28 / $117.69	Facility		$33.28	$59.28	$117.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $18.89 / $23.65	Professional		$13.34	$18.89	$23.65
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $85.61 / $195.41	Facility		$27.79	$85.61	$195.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $87.89 / $191.60	Facility		$22.23	$87.89	$191.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.39 / $44.46	Professional		$15.56	$19.39	$44.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $160.11 / $222.71	Facility		$154.94	$160.11	$222.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $33.78 / $73.89	Facility		$14.88	$33.78	$73.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $25.61 / $38.93	Professional		$13.98	$25.61	$38.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Facility		$22.23	$22.23	$22.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $22.23 / $31.64	Professional		$19.55	$22.23	$31.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.63 / $38.68	Professional		$9.34	$13.63	$38.68