Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $75.86 / $133.07	Facility		$27.39	$75.86	$133.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $16.54 / $34.65	Professional		$5.08	$16.54	$34.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $29.63	Professional		$11.11	$11.11	$29.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $86.35 / $605.35	Facility		$34.33	$86.35	$605.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Professional		$12.04	$12.04	$12.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $121.28 / $8,639.91	Facility		$93.39	$121.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $24.67 / $61.94	Facility		$12.82	$24.67	$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 $8.52 / $14.82 / $25.08	Professional		$8.52	$14.82	$25.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $48.61 / $110.46	Facility		$27.80	$48.61	$110.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $14.56 / $19.80	Professional		$11.11	$14.56	$19.80
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $82.28 / $182.42	Facility		$34.33	$82.28	$182.42
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Professional		$12.04	$12.04	$12.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $72.94 / $172.78	Facility		$20.37	$72.94	$172.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.66 / $46.74	Professional		$12.96	$16.66	$46.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $400.59 / $413.93 / $575.79	Facility		$400.59	$413.93	$575.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $28.13 / $61.94	Facility		$12.40	$28.13	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $21.06 / $32.58	Professional		$11.65	$21.06	$32.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $26.37 / $26.37	Professional		$26.37	$26.37	$26.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.36 / $32.45	Professional		$7.78	$11.36	$32.45