Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $100.80 / $208.89	Facility		$35.32	$100.80	$208.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $24.45 / $49.26	Professional		$21.74	$24.45	$49.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $117.98 / $1,018.45	Facility		$42.16	$117.98	$1,018.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $177.88 / $8,639.91	Facility		$136.97	$177.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $21.19 / $21.19	Professional		$21.19	$21.19	$21.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $36.18 / $90.19	Facility		$17.86	$36.18	$90.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $31.39 / $47.82	Professional		$17.07	$31.39	$47.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $21.74 / $36.79	Professional		$12.50	$21.74	$36.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $74.19 / $157.19	Facility		$40.33	$74.19	$157.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.15 / $26.00	Professional		$16.30	$21.15	$26.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $111.54 / $261.57	Facility		$31.25	$111.54	$261.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $95.10 / $229.20	Facility		$27.17	$95.10	$229.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.33 / $64.19	Professional		$19.55	$24.33	$64.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $461.42 / $476.78 / $663.23	Facility		$461.42	$476.78	$663.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $41.27 / $90.19	Facility		$18.19	$41.27	$90.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $31.39 / $47.82	Professional		$17.07	$31.39	$47.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $27.17	Facility		$27.17	$27.17	$27.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $27.17 / $38.67	Professional		$23.91	$27.17	$38.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $17.85 / $47.59	Professional		$12.23	$17.85	$47.59