Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $71.65 / $155.76	Facility		$31.59	$71.65	$155.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.55 / $43.52	Professional		$8.96	$13.55	$43.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $9.02 / $24.83	Professional		$3.01	$9.02	$24.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $54.55 / $1,768.82	Facility		$18.94	$54.55	$1,768.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $95.00 / $8,639.91	Facility		$73.15	$95.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Professional		$11.74	$11.74	$11.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $20.04 / $49.98	Facility		$10.41	$20.04	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.35 / $26.23	Professional		$9.47	$17.35	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.04 / $20.38	Professional		$6.92	$12.04	$20.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $44.70 / $91.20	Facility		$22.64	$44.70	$91.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $14.00 / $23.48	Professional		$9.94	$14.00	$23.48
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $51.47 / $117.49	Facility		$18.80	$51.47	$117.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $62.84 / $164.82	Facility		$19.44	$62.84	$164.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.65 / $51.12	Professional		$11.29	$13.65	$51.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $417.23 / $442.56 / $1,003.93	Facility		$417.23	$442.56	$1,003.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $22.87 / $49.98	Facility		$10.07	$22.87	$49.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.82 / $26.23	Professional		$9.47	$16.82	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Facility		$15.05	$15.05	$15.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.05 / $20.65	Professional		$13.24	$15.05	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.71 / $25.59	Professional		$9.02	$12.71	$25.59