Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $84.29 / $164.45	Facility		$24.17	$84.29	$164.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $18.05 / $36.04	Professional		$8.24	$18.05	$36.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $12.52 / $20.86	Professional		$4.17	$12.52	$20.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $95.13 / $800.17	Facility		$37.82	$95.13	$800.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $105.21 / $136.62 / $8,639.91	Facility		$105.21	$136.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $27.78 / $69.54	Facility		$14.43	$27.78	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $16.69 / $28.24	Professional		$9.60	$16.69	$28.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $54.41 / $116.80	Facility		$29.75	$54.41	$116.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $16.26 / $25.05	Professional		$12.52	$16.26	$25.05
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $90.65 / $200.97	Facility		$37.82	$90.65	$200.97
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $74.97 / $186.56	Facility		$19.50	$74.97	$186.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.43 / $49.92	Professional		$14.60	$18.43	$49.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $55.66 / $77.43	Facility		$53.87	$55.66	$77.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $31.70 / $69.54	Facility		$13.97	$31.70	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Facility		$20.86	$20.86	$20.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $20.86 / $29.69	Professional		$18.36	$20.86	$29.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $12.93 / $36.54	Professional		$9.39	$12.93	$36.54