Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.74 / $202.32 / $377.97	Facility		$59.74	$202.32	$377.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $45.42 / $50.86	Professional		$13.85	$45.42	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $37.36	Professional		$30.52	$30.52	$37.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $205.56 / $5,512.23	Facility		$73.45	$205.56	$5,512.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $332.97 / $8,639.91	Facility		$256.42	$332.97	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $39.67 / $39.67	Professional		$39.67	$39.67	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $67.73 / $168.42	Facility		$33.43	$67.73	$168.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $58.23 / $89.28	Professional		$31.84	$58.23	$89.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $30.01 / $68.86	Professional		$23.40	$30.01	$68.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $131.86 / $265.29	Facility		$70.36	$131.86	$265.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $43.24 / $49.00	Professional		$30.52	$43.24	$49.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $194.33 / $455.75	Facility		$58.49	$194.33	$455.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $152.58 / $381.60	Facility		$51.00	$152.58	$381.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $45.53 / $128.38	Professional		$33.06	$45.53	$128.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $440.66 / $455.33 / $633.41	Facility		$440.66	$455.33	$633.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $77.23 / $168.42	Facility		$34.04	$77.23	$168.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $58.23 / $89.28	Professional		$31.84	$58.23	$89.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Facility		$50.86	$50.86	$50.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $50.86 / $72.39	Professional		$44.76	$50.86	$72.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $31.53 / $89.09	Professional		$21.36	$31.53	$89.09