Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $71.79 / $201.26	Facility		$32.28	$71.79	$201.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.27 / $80.78	Professional		$11.23	$17.27	$80.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $55.12 / $934.36	Facility		$19.86	$55.12	$934.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $84.81 / $8,639.91	Facility		$65.31	$84.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $22.46 / $57.59	Facility		$11.92	$22.46	$57.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $19.51 / $25.84	Professional		$8.08	$19.51	$25.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.19 / $23.38	Professional		$7.94	$10.19	$23.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $44.92 / $102.02	Facility		$23.89	$44.92	$102.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.43 / $12.50	Professional		$10.36	$11.43	$12.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $52.01 / $118.73	Facility		$19.86	$52.01	$118.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $68.56 / $212.17	Facility		$20.29	$68.56	$212.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.57 / $58.75	Professional		$11.29	$12.57	$58.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.99 / $1,500.06 / $1,887.17	Facility		$1,100.99	$1,500.06	$1,887.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $23.01 / $57.59	Facility		$11.57	$23.01	$57.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $19.51 / $24.78	Professional		$8.08	$19.51	$24.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $20.72 / $20.72	Facility		$15.54	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $10.36 / $29.36	Professional		$7.77	$10.36	$29.36