Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $69.23 / $167.48	Facility		$19.71	$69.23	$167.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.23 / $30.14	Professional		$12.48	$15.23	$30.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.75 / $28.67	Professional		$8.96	$10.75	$28.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $83.68 / $738.05	Facility		$29.90	$83.68	$738.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $110.47 / $8,639.91	Facility		$85.07	$110.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $13.98 / $13.98	Professional		$13.98	$13.98	$13.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $23.84 / $59.76	Facility		$12.40	$23.84	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $20.65 / $29.62	Professional		$10.56	$20.65	$29.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $14.34 / $24.26	Professional		$8.24	$14.34	$24.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $47.26 / $97.29	Facility		$24.79	$47.26	$97.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.24 / $16.80	Professional		$10.75	$15.24	$16.80
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $79.09 / $185.51	Facility		$20.61	$79.09	$185.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $57.33 / $172.91	Facility		$15.24	$57.33	$172.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.29 / $45.23	Professional		$13.05	$15.29	$45.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $471.31 / $486.98 / $677.46	Facility		$471.31	$486.98	$677.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $25.62 / $59.76	Facility		$12.00	$25.62	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $20.65 / $29.62	Professional		$10.56	$20.65	$29.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Facility		$17.92	$17.92	$17.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $17.92 / $24.01	Professional		$15.77	$17.92	$24.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $11.11 / $36.07	Professional		$8.06	$11.11	$36.07