Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $69.83 / $136.27	Facility		$25.82	$69.83	$136.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $14.39 / $29.20	Professional		$5.37	$14.39	$29.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $26.88	Professional		$10.08	$10.08	$26.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $75.20 / $1,393.09	Facility		$26.12	$75.20	$1,393.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $11.36	Professional		$10.92	$10.92	$11.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $110.02 / $8,639.91	Facility		$84.72	$110.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $22.37 / $55.42	Facility		$11.63	$22.37	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.91 / $22.75	Professional		$3.50	$9.91	$22.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $48.35 / $101.87	Facility		$27.77	$48.35	$101.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $16.00 / $27.61	Professional		$11.09	$16.00	$27.61
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $70.98 / $162.02	Facility		$19.32	$70.98	$162.02
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $11.36	Professional		$10.92	$10.92	$11.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $67.41 / $169.01	Facility		$19.50	$67.41	$169.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $14.73 / $39.65	Professional		$11.17	$14.73	$39.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $80.76 / $112.34	Facility		$78.15	$80.76	$112.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $25.53 / $55.42	Facility		$11.25	$25.53	$55.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.13 / $29.62	Professional		$10.56	$19.13	$29.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $23.91 / $23.91	Professional		$23.91	$23.91	$23.91
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $29.44	Professional		$7.06	$10.08	$29.44