Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $82.08 / $183.91	Facility		$29.26	$82.08	$183.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $17.05 / $61.92	Professional		$13.57	$17.05	$61.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $11.63 / $31.98	Professional		$3.88	$11.63	$31.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $86.70 / $1,144.58	Facility		$30.10	$86.70	$1,144.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $126.93 / $8,639.91	Facility		$97.75	$126.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Professional		$15.12	$15.12	$15.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $25.81 / $64.11	Facility		$13.41	$25.81	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.50 / $26.24	Professional		$8.91	$15.50	$26.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $52.13 / $125.43	Facility		$29.02	$52.13	$125.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $16.48 / $25.89	Professional		$11.63	$16.48	$25.89
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $81.81 / $186.75	Facility		$24.23	$81.81	$186.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $80.04 / $246.84	Facility		$22.77	$80.04	$246.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.05 / $51.15	Professional		$14.33	$17.05	$51.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $717.12 / $741.03 / $1,030.85	Facility		$717.12	$741.03	$1,030.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $29.44 / $64.11	Facility		$12.98	$29.44	$64.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.38 / $27.58	Professional		$17.05	$19.38	$27.58
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $32.50	Facility		$16.25	$16.25	$32.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $12.02 / $33.96	Professional		$8.14	$12.02	$33.96