Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $76.14 / $155.06	Facility		$25.29	$76.14	$155.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.86 / $56.64	Professional		$11.03	$18.86	$56.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.29	Professional		$12.49	$12.49	$15.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $90.37 / $1,216.66	Facility		$32.29	$90.37	$1,216.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $136.26 / $8,639.91	Facility		$104.93	$136.26	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $27.72 / $69.54	Facility		$13.67	$27.72	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.64 / $28.18	Professional		$9.57	$16.64	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $54.26 / $112.82	Facility		$32.47	$54.26	$112.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.69 / $21.00	Professional		$12.49	$17.69	$21.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $85.43 / $200.36	Facility		$23.93	$85.43	$200.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $66.69 / $167.69	Facility		$20.81	$66.69	$167.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $18.86 / $49.18	Professional		$14.56	$18.86	$49.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $307.89 / $428.31	Facility		$297.98	$307.89	$428.31
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $31.61 / $69.54	Facility		$13.94	$31.61	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.81 / $29.61	Professional		$18.30	$20.81	$29.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.32 / $38.08	Professional		$9.36	$13.32	$38.08