Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $105.30 / $184.97	Facility		$37.10	$105.30	$184.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $25.03 / $32.32	Professional		$6.43	$25.03	$32.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $120.49 / $1,470.62	Facility		$43.06	$120.49	$1,470.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $183.98 / $8,639.91	Facility		$141.68	$183.98	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Professional		$21.92	$21.92	$21.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $37.43 / $93.45	Facility		$18.47	$37.43	$93.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $32.21 / $49.08	Professional		$17.71	$32.21	$49.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $22.48 / $38.04	Professional		$12.93	$22.48	$38.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $74.00 / $191.15	Facility		$42.48	$74.00	$191.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $27.00 / $27.00	Professional		$16.86	$27.00	$27.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $113.91 / $267.14	Facility		$32.32	$113.91	$267.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $98.35 / $196.08	Facility		$28.94	$98.35	$196.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $70.95	Professional		$18.27	$25.09	$70.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.67 / $665.67 / $837.43	Facility		$665.67	$665.67	$837.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $42.69 / $93.45	Facility		$18.82	$42.69	$93.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $32.21 / $49.08	Professional		$17.71	$32.21	$49.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Facility		$28.10	$28.10	$28.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $28.10 / $39.97	Professional		$24.73	$28.10	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $17.85 / $49.22	Professional		$12.65	$17.85	$49.22