Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $83.60 / $267.27	Facility		$23.27	$83.60	$267.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $16.23 / $48.36	Professional		$14.14	$16.23	$48.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.89 / $17.89	Professional		$10.74	$17.89	$17.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $75.87 / $1,150.55	Facility		$27.11	$75.87	$1,150.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $117.24 / $8,639.91	Facility		$90.28	$117.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $23.85 / $59.76	Facility		$11.76	$23.85	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.65 / $31.31	Professional		$11.18	$20.65	$31.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.56 / $24.24	Professional		$8.23	$10.56	$24.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $48.00 / $116.52	Facility		$27.43	$48.00	$116.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.00 / $17.00	Professional		$10.74	$17.00	$17.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $71.72 / $168.20	Facility		$20.59	$71.72	$168.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $74.43 / $260.38	Facility		$19.94	$74.43	$260.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $16.03 / $50.83	Professional		$13.43	$16.03	$50.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $584.71 / $604.17 / $840.44	Facility		$584.71	$604.17	$840.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $27.19 / $59.76	Facility		$11.99	$27.19	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.65 / $31.31	Professional		$11.18	$20.65	$31.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $17.89 / $25.49	Professional		$15.75	$17.89	$25.49
United Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $10.51	Facility		$10.51	$10.51	$10.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $15.01 / $34.01	Professional		$8.06	$15.01	$34.01