Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $74.23 / $335.94	Facility		$28.00	$74.23	$335.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $15.22 / $27.98	Professional		$10.60	$15.22	$27.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Professional		$12.73	$12.73	$12.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $71.68 / $1,835.92	Facility		$25.62	$71.68	$1,835.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $107.82 / $8,639.91	Facility		$83.03	$107.82	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $27.58 / $70.63	Facility		$13.94	$27.58	$70.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $24.10 / $31.53	Professional		$10.25	$24.10	$31.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $16.97 / $28.72	Professional		$9.76	$16.97	$28.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $56.37 / $142.94	Facility		$31.76	$56.37	$142.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $14.37 / $16.00	Professional		$12.73	$14.37	$16.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $67.77 / $158.91	Facility		$24.39	$67.77	$158.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $72.68 / $363.65	Facility		$23.62	$72.68	$363.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.33 / $50.12	Professional		$13.99	$15.33	$50.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $289.66 / $410.34	Facility		$277.45	$289.66	$410.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $28.25 / $70.63	Facility		$14.20	$28.25	$70.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $24.10 / $30.46	Professional		$10.25	$24.10	$30.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Facility		$21.21	$21.21	$21.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $21.21 / $23.43	Professional		$18.66	$21.21	$23.43
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $27.60	Facility		$13.80	$13.80	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $13.57 / $38.81	Professional		$9.53	$13.57	$38.81