Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $66.75 / $151.97	Facility		$20.88	$66.75	$151.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.00 / $26.26	Professional		$12.43	$14.00	$26.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $86.12 / $399.09	Facility		$29.90	$86.12	$399.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $105.18 / $8,639.91	Facility		$80.98	$105.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Professional		$12.53	$12.53	$12.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $21.39 / $53.24	Facility		$10.55	$21.39	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.48 / $21.75	Professional		$7.39	$9.48	$21.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $42.48 / $89.52	Facility		$24.05	$42.48	$89.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $14.22 / $15.50	Professional		$9.64	$14.22	$15.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $81.27 / $185.51	Facility		$20.07	$81.27	$185.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $60.45 / $156.49	Facility		$16.05	$60.45	$156.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.00 / $45.59	Professional		$11.88	$14.00	$45.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $191.74 / $266.75	Facility		$185.58	$191.74	$266.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $24.40 / $53.24	Facility		$10.75	$24.40	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.59 / $28.35	Professional		$10.10	$18.59	$28.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Facility		$16.05	$16.05	$16.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.05 / $22.87	Professional		$14.13	$16.05	$22.87
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.85 / $28.14	Professional		$6.75	$9.85	$28.14