Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $93.99 / $237.90	Facility		$29.25	$93.99	$237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $20.54 / $41.30	Professional		$18.12	$20.54	$41.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $22.94 / $22.94	Professional		$13.76	$22.94	$22.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $99.85 / $1,716.64	Facility		$35.69	$99.85	$1,716.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $150.30 / $8,639.91	Facility		$115.74	$150.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $30.55 / $76.06	Facility		$15.07	$30.55	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $26.43 / $40.20	Professional		$14.44	$26.43	$40.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.53 / $31.06	Professional		$9.49	$13.53	$31.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $60.97 / $141.47	Facility		$32.43	$60.97	$141.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.88 / $22.00	Professional		$13.76	$17.88	$22.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $94.40 / $221.38	Facility		$26.38	$94.40	$221.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $91.07 / $246.64	Facility		$23.63	$91.07	$246.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.50 / $63.11	Professional		$17.89	$20.50	$63.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $289.24 / $402.32	Facility		$279.89	$289.24	$402.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $34.86 / $76.06	Facility		$15.36	$34.86	$76.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $26.43 / $40.20	Professional		$14.44	$26.43	$40.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $22.94	Facility		$22.94	$22.94	$22.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $22.94 / $32.67	Professional		$20.19	$22.94	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $14.22 / $40.21	Professional		$10.32	$14.22	$40.21