Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $71.72 / $98.89	Facility		$19.61	$71.72	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $15.89 / $30.84	Professional		$14.44	$15.89	$30.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $17.82 / $17.82	Professional		$10.70	$17.82	$17.82
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $81.38 / $633.70	Facility		$32.35	$81.38	$633.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.94 / $116.79 / $8,639.91	Facility		$89.94	$116.79	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $23.74 / $58.68	Facility		$11.72	$23.74	$58.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $24.18 / $55.88	Professional		$16.80	$24.18	$55.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.36 / $24.14	Professional		$8.19	$11.36	$24.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $43.60 / $101.30	Facility		$26.47	$43.60	$101.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.24 / $17.00	Professional		$10.70	$15.24	$17.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $77.11 / $171.91	Facility		$30.26	$77.11	$171.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $68.00 / $115.15	Facility		$16.68	$68.00	$115.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $16.17 / $45.02	Professional		$14.09	$16.17	$45.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $201.76 / $280.66	Facility		$195.26	$201.76	$280.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $27.09 / $58.68	Facility		$11.94	$27.09	$58.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $24.18 / $42.85	Professional		$16.80	$24.18	$42.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $21.18	Facility		$17.82	$17.82	$21.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $17.82 / $21.18	Professional		$15.69	$17.82	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.94 / $31.25	Professional		$8.02	$10.94	$31.25