Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $67.39 / $202.18	Facility		$25.57	$67.39	$202.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.78 / $52.94	Professional		$8.63	$14.78	$52.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $10.16 / $27.95	Professional		$3.39	$10.16	$27.95
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $75.79 / $801.16	Facility		$26.32	$75.79	$801.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $110.96 / $8,639.91	Facility		$85.45	$110.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.21 / $13.21	Professional		$13.21	$13.21	$13.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $22.56 / $56.50	Facility		$11.72	$22.56	$56.50
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 $7.79 / $9.99 / $22.94	Professional		$7.79	$9.99	$22.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $44.80 / $98.02	Facility		$23.43	$44.80	$98.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.50 / $26.43	Professional		$10.16	$16.50	$26.43
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $71.52 / $163.25	Facility		$21.18	$71.52	$163.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $66.95 / $232.40	Facility		$18.63	$66.95	$232.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.78 / $33.88	Professional		$11.86	$14.78	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.32 / $450.87 / $627.21	Facility		$436.32	$450.87	$627.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $25.74 / $56.50	Facility		$11.34	$25.74	$56.50
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 Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $16.94 / $24.11	Professional		$14.91	$16.94	$24.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.84 / $31.00	Professional		$7.62	$10.84	$31.00