Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $73.17 / $143.63	Facility		$28.25	$73.17	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $19.41 / $37.88	Professional		$9.96	$19.41	$37.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $21.73	Professional		$13.04	$13.04	$21.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $74.34 / $411.52	Facility		$25.82	$74.34	$411.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $99.47 / $129.16 / $8,639.91	Facility		$99.47	$129.16	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Professional		$16.95	$16.95	$16.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $28.93 / $71.72	Facility		$15.04	$28.93	$71.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $24.78 / $38.08	Professional		$13.67	$24.78	$38.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.82 / $29.42	Professional		$10.00	$12.82	$29.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $55.03 / $107.16	Facility		$32.26	$55.03	$107.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.02 / $19.00	Professional		$13.04	$16.02	$19.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $70.17 / $160.16	Facility		$25.82	$70.17	$160.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $76.75 / $159.50	Facility		$23.76	$76.75	$159.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.55 / $43.46	Professional		$15.21	$19.55	$43.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $81.36 / $113.18	Facility		$78.75	$81.36	$113.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $33.02 / $71.72	Facility		$14.54	$33.02	$71.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $24.78 / $38.08	Professional		$13.67	$24.78	$38.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $21.73	Facility		$21.73	$21.73	$21.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $21.73 / $28.08	Professional		$19.12	$21.73	$28.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.04 / $36.94	Professional		$9.13	$13.04	$36.94