Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $82.01 / $218.16	Facility		$31.41	$82.01	$218.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $18.47 / $34.71	Professional		$9.52	$18.47	$34.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Professional		$12.74	$12.74	$12.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $91.58 / $721.15	Facility		$31.80	$91.58	$721.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $139.09 / $8,639.91	Facility		$107.11	$139.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $28.27 / $70.63	Facility		$13.95	$28.27	$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 / $15.15 / $28.75	Professional		$9.77	$15.15	$28.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $59.82 / $146.19	Facility		$31.93	$59.82	$146.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.50 / $20.50	Professional		$12.74	$20.50	$20.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $86.42 / $197.26	Facility		$26.54	$86.42	$197.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $76.80 / $222.20	Facility		$21.87	$76.80	$222.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $18.51 / $50.18	Professional		$15.29	$18.51	$50.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $905.98 / $939.12 / $1,296.81	Facility		$905.98	$939.12	$1,296.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $32.26 / $70.63	Facility		$14.21	$32.26	$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 $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $21.23 / $30.23	Professional		$18.68	$21.23	$30.23
United Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $25.48 / $25.48	Facility		$19.11	$25.48	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.65 / $37.21	Professional		$9.55	$13.65	$37.21