Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $65.34 / $118.70	Facility		$23.36	$65.34	$118.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.82 / $29.28	Professional		$12.17	$14.82	$29.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $16.46	Professional		$9.88	$9.88	$16.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $70.84 / $1,707.20	Facility		$25.32	$70.84	$1,707.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $107.87 / $8,639.91	Facility		$83.07	$107.87	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Professional		$12.84	$12.84	$12.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $21.92 / $54.33	Facility		$10.82	$21.92	$54.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $19.00 / $28.77	Professional		$10.41	$19.00	$28.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $12.63 / $22.29	Professional		$7.57	$12.63	$22.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $43.20 / $93.83	Facility		$24.29	$43.20	$93.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $14.00 / $16.00	Professional		$10.87	$14.00	$16.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $66.97 / $157.07	Facility		$18.93	$66.97	$157.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $62.76 / $147.10	Facility		$17.32	$62.76	$147.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $14.82 / $41.55	Professional		$12.34	$14.82	$41.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $274.99 / $382.54	Facility		$266.12	$274.99	$382.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $25.01 / $54.33	Facility		$11.02	$25.01	$54.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $19.00 / $28.77	Professional		$10.41	$19.00	$28.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Facility		$16.46	$16.46	$16.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.46 / $23.44	Professional		$14.48	$16.46	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.53 / $30.12	Professional		$6.91	$10.53	$30.12