Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $73.23 / $118.66	Facility		$35.13	$73.23	$118.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $16.04 / $30.82	Professional		$4.40	$16.04	$30.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $11.03 / $13.52	Professional		$3.68	$11.03	$13.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $956.19 / $956.19 / $956.19	Facility		$956.19	$956.19	$956.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $12.43	Professional		$11.95	$11.95	$12.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $120.43 / $8,639.91	Facility		$92.74	$120.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $24.48 / $60.85	Facility		$12.73	$24.48	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $21.06 / $32.15	Professional		$11.49	$21.06	$32.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $14.71 / $24.90	Professional		$8.46	$14.71	$24.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $51.82 / $102.34	Facility		$28.56	$51.82	$102.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.71 / $30.22	Professional		$11.03	$15.71	$30.22
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $956.19 / $956.19 / $1,211.41	Facility		$956.19	$956.19	$1,211.41
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $12.43	Professional		$11.95	$11.95	$12.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $68.95 / $138.60	Facility		$20.48	$68.95	$138.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.59 / $36.78	Professional		$13.61	$16.59	$36.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $90.70 / $126.18	Facility		$87.80	$90.70	$126.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $27.95 / $60.85	Facility		$12.31	$27.95	$60.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $20.66 / $32.15	Professional		$11.49	$20.66	$32.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $18.39 / $26.18	Professional		$16.18	$18.39	$26.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Facility		$10.79	$10.79	$10.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.77 / $32.22	Professional		$8.27	$11.77	$32.22