Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $47.52 / $99.41	Facility		$16.00	$47.52	$99.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.22 / $20.72	Professional		$8.44	$10.22	$20.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $6.86 / $8.40	Professional		$2.29	$6.86	$8.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $49.95 / $491.04	Facility		$17.34	$49.95	$491.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.65 / $74.86 / $8,639.91	Facility		$57.65	$74.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $8.92	Professional		$8.92	$8.92	$8.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $15.22 / $38.03	Facility		$7.51	$15.22	$38.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $13.22 / $19.89	Professional		$7.14	$13.22	$19.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $9.14 / $15.48	Professional		$5.26	$9.14	$15.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $32.18 / $71.43	Facility		$17.16	$32.18	$71.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.72 / $12.10	Professional		$6.86	$9.72	$12.10
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $47.14 / $107.60	Facility		$14.29	$47.14	$107.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $45.96 / $116.20	Facility		$11.68	$45.96	$116.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.22 / $15.77	Professional		$8.44	$10.22	$15.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $120.67 / $197.75	Facility		$111.51	$120.67	$197.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $17.36 / $38.03	Facility		$7.65	$17.36	$38.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $13.01 / $19.89	Professional		$7.14	$13.01	$19.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Facility		$11.43	$11.43	$11.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.43 / $16.28	Professional		$10.06	$11.43	$16.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.51 / $20.03	Professional		$5.14	$7.51	$20.03