Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $43.13 / $101.57	Facility		$19.03	$43.13	$101.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.02 / $18.04	Professional		$6.67	$8.02	$18.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $6.63 / $14.43	Professional		$5.41	$6.63	$14.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $39.33 / $934.36	Facility		$13.66	$39.33	$934.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $6.10	Professional		$5.86	$5.86	$6.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $59.07 / $8,639.91	Facility		$45.49	$59.07	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Professional		$7.04	$7.04	$7.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $12.01 / $30.42	Facility		$6.24	$12.01	$30.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $10.33 / $15.66	Professional		$5.59	$10.33	$15.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $7.22 / $12.21	Professional		$4.15	$7.22	$12.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $25.37 / $58.42	Facility		$14.01	$25.37	$58.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.35 / $18.39	Professional		$5.41	$9.35	$18.39
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $37.11 / $84.72	Facility		$11.28	$37.11	$84.72
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $6.10	Professional		$5.86	$5.86	$6.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $39.47 / $125.02	Facility		$11.42	$39.47	$125.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.06 / $22.77	Professional		$6.31	$8.06	$22.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $135.84 / $188.97	Facility		$131.47	$135.84	$188.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $13.70 / $30.42	Facility		$6.04	$13.70	$30.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $10.33 / $15.66	Professional		$5.59	$10.33	$15.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Facility		$9.02	$9.02	$9.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.02 / $12.83	Professional		$7.94	$9.02	$12.83
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.77 / $15.80	Professional		$4.05	$5.77	$15.80