Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $201.56 / $460.04	Facility		$45.79	$201.56	$460.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $64.92 / $88.72	Professional		$22.18	$64.92	$88.72
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 / $3,415.38	Facility		$35.97	$100.69	$3,415.38
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 $36.97 / $66.18 / $131.16	Facility		$36.97	$66.18	$131.16
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 $35.63 / $170.26 / $475.80	Facility		$35.63	$170.26	$475.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $50.90 / $92.32	Professional		$20.87	$50.90	$92.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $205.43 / $285.77	Facility		$198.81	$205.43	$285.77
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 $12.73 / $12.73 / $17.46	Facility		$12.73	$12.73	$17.46
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.60 / $44.57	Professional		$10.69	$15.60	$44.57