Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $44.34 / $144.47	Facility		$14.00	$44.34	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.64 / $25.05	Professional		$8.15	$8.64	$25.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $9.58	Professional		$5.75	$5.75	$9.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $37.10 / $1,146.10	Facility		$13.26	$37.10	$1,146.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $62.65 / $8,639.91	Facility		$48.25	$62.65	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $7.47 / $7.47	Professional		$7.47	$7.47	$7.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $12.76 / $31.51	Facility		$6.29	$12.76	$31.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.15 / $16.93	Professional		$6.06	$11.15	$16.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $7.66 / $12.97	Professional		$4.41	$7.66	$12.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $26.28 / $85.46	Facility		$13.92	$26.28	$85.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.38 / $9.90	Professional		$5.75	$7.38	$9.90
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $35.07 / $82.24	Facility		$11.02	$35.07	$82.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $41.45 / $191.07	Facility		$10.66	$41.45	$191.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.61 / $24.17	Professional		$7.76	$8.61	$24.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.84 / $227.16 / $316.00	Facility		$219.84	$227.16	$316.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $14.54 / $31.51	Facility		$6.42	$14.54	$31.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.15 / $16.93	Professional		$6.06	$11.15	$16.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Facility		$9.58	$9.58	$9.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $9.58 / $13.62	Professional		$8.43	$9.58	$13.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.13 / $16.76	Professional		$4.20	$6.13	$16.76