Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $149.41 / $268.35	Facility		$67.68	$149.41	$268.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $30.78 / $55.50	Professional		$23.09	$30.78	$55.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $23.56 / $64.78	Professional		$7.85	$23.56	$64.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $1,944.26 / $3,325.20	Facility		$64.73	$1,944.26	$3,325.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $222.28 / $8,639.91	Facility		$171.18	$222.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $30.62 / $30.62	Professional		$30.62	$30.62	$30.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $51.04 / $130.38	Facility		$25.80	$51.04	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $44.38 / $59.66	Professional		$21.28	$44.38	$59.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.41 / $53.16	Professional		$18.05	$31.41	$53.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $100.02 / $233.65	Facility		$54.88	$100.02	$233.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $32.50 / $64.52	Professional		$23.56	$32.50	$64.52
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $1,944.26 / $3,325.20	Facility		$64.73	$1,944.26	$3,325.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $149.41 / $299.75	Facility		$45.47	$149.41	$299.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $32.19 / $99.10	Professional		$29.58	$32.19	$99.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,350.73 / $1,699.62	Facility		$1,003.93	$1,350.73	$1,699.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $52.28 / $130.38	Facility		$26.29	$52.28	$130.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $44.38 / $59.66	Professional		$21.28	$44.38	$59.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $47.11 / $47.11	Facility		$35.33	$47.11	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $66.73	Professional		$16.48	$23.56	$66.73