Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $63.05 / $113.50	Facility		$29.13	$63.05	$113.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $12.78 / $25.00	Professional		$6.90	$12.78	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $14.70	Professional		$8.82	$8.82	$14.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $64.88 / $626.22	Facility		$22.53	$64.88	$626.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.16 / $96.30 / $8,639.91	Facility		$74.16	$96.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Professional		$11.47	$11.47	$11.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $19.59 / $48.90	Facility		$10.17	$19.59	$48.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $16.93 / $25.81	Professional		$9.16	$16.93	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.76 / $19.89	Professional		$6.76	$11.76	$19.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $39.13 / $80.50	Facility		$20.34	$39.13	$80.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $14.00 / $24.16	Professional		$9.71	$14.00	$24.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $61.23 / $139.75	Facility		$18.38	$61.23	$139.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $56.64 / $128.31	Facility		$17.87	$56.64	$128.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.82 / $24.02	Professional		$9.56	$12.82	$24.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.98 / $242.78 / $337.73	Facility		$234.98	$242.78	$337.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $22.32 / $48.90	Facility		$9.85	$22.32	$48.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $16.93 / $25.81	Professional		$9.16	$16.93	$25.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Facility		$14.70	$14.70	$14.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.70 / $20.93	Professional		$12.94	$14.70	$20.93
United Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $24.65	Facility		$12.32	$12.32	$24.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.41 / $25.76	Professional		$6.17	$9.41	$25.76