Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $68.00 / $99.98	Facility		$27.76	$68.00	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.47 / $21.15	Professional		$9.75	$16.47	$21.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $18.39	Professional		$11.03	$11.03	$18.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $70.84 / $862.30	Facility		$25.32	$70.84	$862.30
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 $12.09 / $24.48 / $60.85	Facility		$12.09	$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 $27.54 / $46.85 / $104.83	Facility		$27.54	$46.85	$104.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.27 / $17.50	Professional		$11.03	$14.27	$17.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $66.97 / $157.07	Facility		$21.15	$66.97	$157.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $68.80 / $130.54	Facility		$18.39	$68.80	$130.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.67 / $43.45	Professional		$13.61	$16.67	$43.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $191.28 / $197.61 / $274.91	Facility		$191.28	$197.61	$274.91
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 / $21.06 / $32.15	Professional		$11.49	$21.06	$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 Professional Modifier Low / Median / High Price $8.27 / $11.77 / $32.22	Professional		$8.27	$11.77	$32.22