Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $81.25 / $143.93	Facility		$28.07	$81.25	$143.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $18.98 / $34.75	Professional		$16.57	$18.98	$34.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Professional		$12.76	$12.76	$12.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $75.52 / $3,948.17	Facility		$25.72	$75.52	$3,948.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $128.59 / $8,639.91	Facility		$99.02	$128.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $28.31 / $70.63	Facility		$13.97	$28.31	$70.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $24.37 / $37.24	Professional		$13.36	$24.37	$37.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.01 / $28.79	Professional		$9.77	$17.01	$28.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $55.30 / $117.63	Facility		$28.90	$55.30	$117.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $18.07 / $19.00	Professional		$12.76	$18.07	$19.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $68.03 / $159.54	Facility		$24.45	$68.03	$159.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $66.31 / $170.95	Facility		$22.38	$66.31	$170.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $19.12 / $53.66	Professional		$15.72	$19.12	$53.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.30 / $186.30 / $234.37	Facility		$186.30	$186.30	$234.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $32.29 / $70.63	Facility		$14.23	$32.29	$70.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $24.37 / $37.24	Professional		$13.36	$24.37	$37.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $21.26	Facility		$21.26	$21.26	$21.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $21.26 / $27.95	Professional		$18.71	$21.26	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $36.99	Professional		$8.93	$12.76	$36.99