Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $58.14 / $176.40	Facility		$19.57	$58.14	$176.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $13.42 / $39.11	Professional		$11.65	$13.42	$39.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $32.08 / $2,302.10	Facility		$13.38	$32.08	$2,302.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $57.27 / $8,639.91	Facility		$44.11	$57.27	$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 $9.89 / $20.04 / $49.98	Facility		$9.89	$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 / $8.88 / $20.38	Professional		$6.92	$8.88	$20.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $38.38 / $71.52	Facility		$25.76	$38.38	$71.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $9.02	Professional		$8.50	$8.50	$9.02
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $30.32 / $71.11	Facility		$15.05	$30.32	$71.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $52.68 / $176.40	Facility		$17.67	$52.68	$176.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.48 / $62.16	Professional		$10.84	$13.48	$62.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $200.77 / $252.58	Facility		$200.77	$200.77	$252.58
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 / $17.35 / $26.23	Professional		$9.47	$17.35	$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 $12.45 / $15.05 / $15.05	Professional		$12.45	$15.05	$15.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.33 / $25.59	Professional		$6.32	$9.33	$25.59