Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $77.72 / $143.60	Facility		$26.01	$77.72	$143.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $16.59 / $34.58	Professional		$5.09	$16.59	$34.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $29.73	Professional		$11.15	$11.15	$29.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $83.25 / $605.35	Facility		$28.91	$83.25	$605.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Professional		$12.08	$12.08	$12.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $121.73 / $8,639.91	Facility		$93.74	$121.73	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $14.49 / $14.49	Professional		$14.49	$14.49	$14.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $24.75 / $61.94	Facility		$12.86	$24.75	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $21.06 / $32.58	Professional		$11.65	$21.06	$32.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $14.86 / $25.16	Professional		$8.55	$14.86	$25.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $52.02 / $110.58	Facility		$27.89	$52.02	$110.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $15.80 / $22.54	Professional		$11.15	$15.80	$22.54
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $78.56 / $179.33	Facility		$23.23	$78.56	$179.33
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Professional		$12.08	$12.08	$12.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $74.72 / $176.40	Facility		$20.43	$74.72	$176.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.71 / $37.15	Professional		$13.01	$16.71	$37.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $374.31 / $386.77 / $538.02	Facility		$374.31	$386.77	$538.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $28.23 / $61.94	Facility		$12.44	$28.23	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $21.04 / $32.58	Professional		$11.65	$21.04	$32.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Professional		$26.46	$26.46	$26.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.40 / $32.33	Professional		$8.36	$11.40	$32.33