Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $149.93 / $618.75	Facility		$44.83	$149.93	$618.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $76.25 / $171.93	Professional		$15.53	$76.25	$171.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $75.20 / $1,543.68	Facility		$26.12	$75.20	$1,543.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $117.42 / $8,639.91	Facility		$90.42	$117.42	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $23.87 / $59.76	Facility		$11.78	$23.87	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.65 / $31.31	Professional		$11.18	$20.65	$31.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.58 / $24.28	Professional		$5.25	$10.58	$24.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $46.38 / $94.98	Facility		$25.57	$46.38	$94.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $17.00 / $18.70	Professional		$10.76	$17.00	$18.70
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $70.98 / $162.02	Facility		$22.41	$70.98	$162.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $138.47 / $666.46	Facility		$35.86	$138.47	$666.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $50.90 / $143.82	Professional		$15.03	$50.90	$143.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $319.16 / $332.53 / $460.71	Facility		$319.16	$332.53	$460.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $27.24 / $59.76	Facility		$12.00	$27.24	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.65 / $31.31	Professional		$11.18	$20.65	$31.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $17.93	Facility		$17.93	$17.93	$17.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $17.93 / $25.52	Professional		$15.78	$17.93	$25.52
United Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $30.07	Facility		$15.04	$15.04	$30.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.55 / $31.42	Professional		$8.07	$11.55	$31.42