Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $62.92 / $146.32	Facility		$27.13	$62.92	$146.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.66 / $12.77	Professional		$9.14	$9.66	$12.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Professional		$6.94	$6.94	$6.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $48.30 / $1,164.97	Facility		$19.20	$48.30	$1,164.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $69.92 / $8,639.91	Facility		$53.85	$69.92	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $15.21 / $38.03	Facility		$7.61	$15.21	$38.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.22 / $18.62	Professional		$6.68	$13.22	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $9.26 / $15.67	Professional		$5.32	$9.26	$15.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $50.76 / $102.54	Facility		$21.05	$50.76	$102.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $10.50 / $21.77	Professional		$7.64	$10.50	$21.77
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $46.02 / $102.03	Facility		$19.20	$46.02	$102.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $60.10 / $186.75	Facility		$15.50	$60.10	$186.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $9.83 / $47.78	Professional		$8.68	$9.83	$47.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,865.10 / $2,320.21	Facility		$819.61	$1,865.10	$2,320.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $16.22 / $38.03	Facility		$7.75	$16.22	$38.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.22 / $18.62	Professional		$6.68	$13.22	$18.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $15.20	Professional		$15.20	$15.20	$15.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.02 / $20.13	Professional		$5.21	$7.02	$20.13