Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $310.85 / $904.29	Facility		$15.67	$310.85	$904.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $87.40 / $199.76	Professional		$13.44	$87.40	$199.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $21.66 / $3,205.65	Facility		$7.38	$21.66	$3,205.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $34.18 / $8,639.91	Facility		$26.32	$34.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $6.95 / $17.39	Facility		$3.62	$6.95	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $9.31	Professional		$3.26	$5.78	$9.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.69 / $7.07	Professional		$2.40	$3.69	$7.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $14.24 / $30.52	Facility		$7.38	$14.24	$30.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.05 / $4.98	Professional		$3.13	$4.05	$4.98
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $20.05 / $45.76	Facility		$6.53	$20.05	$45.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $149.81 / $909.88	Facility		$12.99	$149.81	$909.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $69.92 / $189.42	Professional		$5.21	$69.92	$189.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.97 / $320.29 / $445.57	Facility		$309.97	$320.29	$445.57
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $7.92 / $17.39	Facility		$3.49	$7.92	$17.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.78 / $9.31	Professional		$3.26	$5.78	$9.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $8.31	Facility		$5.22	$5.22	$8.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.22 / $8.31	Professional		$4.59	$5.22	$8.31
United Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $8.76	Facility		$4.38	$4.38	$8.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.43 / $9.14	Professional		$2.35	$3.43	$9.14