Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $232.10 / $529.20	Facility		$39.15	$232.10	$529.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $46.12 / $84.00	Professional		$21.63	$46.12	$84.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $25.45	Professional		$15.27	$15.27	$25.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $100.69 / $1,529.77	Facility		$35.97	$100.69	$1,529.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $166.57 / $8,639.91	Facility		$128.28	$166.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $33.89 / $84.76	Facility		$16.72	$33.89	$84.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.43	Professional		$16.00	$29.32	$44.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $15.02 / $34.46	Professional		$7.90	$15.02	$34.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $66.36 / $145.97	Facility		$36.28	$66.36	$145.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $19.89 / $41.82	Professional		$15.27	$19.89	$41.82
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $95.19 / $223.24	Facility		$29.27	$95.19	$223.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $195.11 / $540.00	Facility		$36.00	$195.11	$540.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $45.36 / $87.80	Professional		$20.61	$45.36	$87.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $654.64 / $676.44 / $941.01	Facility		$654.64	$676.44	$941.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $38.65 / $84.76	Facility		$17.04	$38.65	$84.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.43	Professional		$16.00	$29.32	$44.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Facility		$25.45	$25.45	$25.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $25.45 / $36.21	Professional		$22.40	$25.45	$36.21
United Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $14.93	Facility		$14.93	$14.93	$14.93
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $16.54 / $44.57	Professional		$11.45	$16.54	$44.57