Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $72.56 / $104.21	Facility		$22.55	$72.56	$104.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $16.80 / $21.61	Professional		$15.03	$16.80	$21.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $63.59 / $410.52	Facility		$22.73	$63.59	$410.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $113.93 / $8,639.91	Facility		$87.73	$113.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Professional		$14.66	$14.66	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $25.01 / $61.94	Facility		$12.35	$25.01	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $15.03 / $25.44	Professional		$8.64	$15.03	$25.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $46.40 / $97.60	Facility		$25.99	$46.40	$97.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.50 / $16.50	Professional		$11.27	$16.50	$16.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $60.12 / $140.99	Facility		$21.61	$60.12	$140.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $56.98 / $107.28	Facility		$19.79	$56.98	$107.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $16.93 / $53.34	Professional		$13.89	$16.93	$53.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $49.69 / $69.13	Facility		$48.10	$49.69	$69.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $28.56 / $61.94	Facility		$12.58	$28.56	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Facility		$18.79	$18.79	$18.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.79 / $24.77	Professional		$16.54	$18.79	$24.77
United Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Facility		$11.03	$11.03	$11.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $11.65 / $32.69	Professional		$8.46	$11.65	$32.69