Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $53.84 / $99.79	Facility		$14.15	$53.84	$99.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $11.22 / $16.94	Professional		$10.42	$11.22	$16.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $12.87	Professional		$7.72	$7.72	$12.87
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $55.78 / $1,083.96	Facility		$19.94	$55.78	$1,083.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $84.32 / $8,639.91	Facility		$64.93	$84.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $41.87	Professional		$10.03	$10.03	$41.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $17.14 / $42.38	Facility		$8.46	$17.14	$42.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.87 / $22.43	Professional		$8.08	$14.87	$22.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.59 / $17.43	Professional		$5.92	$7.59	$17.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $37.71 / $74.45	Facility		$23.95	$37.71	$74.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.11 / $12.50	Professional		$7.72	$10.11	$12.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $52.74 / $123.68	Facility		$14.80	$52.74	$123.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $48.26 / $116.58	Facility		$12.09	$48.26	$116.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $11.45 / $36.54	Professional		$10.42	$11.45	$36.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $54.98 / $69.17	Facility		$54.98	$54.98	$69.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $19.55 / $42.38	Facility		$8.61	$19.55	$42.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.87 / $22.43	Professional		$8.08	$14.87	$22.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Professional		$18.32	$18.32	$18.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.58 / $22.39	Professional		$7.08	$11.58	$22.39