Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $111.22 / $211.47	Facility		$42.18	$111.22	$211.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $24.96 / $48.20	Professional		$7.49	$24.96	$48.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $16.76 / $20.53	Professional		$5.59	$16.76	$20.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $126.46 / $689.84	Facility		$50.27	$126.46	$689.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $183.00 / $8,639.91	Facility		$140.91	$183.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $37.20 / $92.36	Facility		$19.32	$37.20	$92.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $31.80 / $49.08	Professional		$17.55	$31.80	$49.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $22.35 / $37.83	Professional		$12.85	$22.35	$37.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $76.06 / $152.10	Facility		$42.02	$76.06	$152.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $21.88 / $33.81	Professional		$16.76	$21.88	$33.81
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $120.49 / $267.14	Facility		$50.27	$120.49	$267.14
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $99.12 / $238.14	Facility		$30.73	$99.12	$238.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.07 / $55.88	Professional		$19.55	$25.07	$55.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $86.59 / $120.45	Facility		$83.79	$86.59	$120.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $42.45 / $92.36	Facility		$18.70	$42.45	$92.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $31.80 / $49.08	Professional		$17.55	$31.80	$49.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $27.94	Facility		$27.94	$27.94	$27.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $27.94 / $39.78	Professional		$24.59	$27.94	$39.78
United Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $46.85	Facility		$23.42	$23.42	$46.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $18.36 / $48.96	Professional		$12.57	$18.36	$48.96