Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $62.66 / $117.30	Facility		$17.05	$62.66	$117.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $19.80 / $29.73	Professional		$9.40	$19.80	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $19.28 / $19.88	Professional		$6.03	$19.28	$19.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $16.89 / $705.24	Facility		$6.71	$16.89	$705.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $51.71 / $8,639.91	Facility		$39.82	$51.71	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $9.40	Professional		$9.40	$9.40	$9.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $14.91 / $35.00	Facility		$7.83	$14.91	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $14.98	Professional		$5.71	$5.71	$14.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.11 / $16.32	Professional		$5.54	$7.11	$16.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $29.17 / $56.03	Facility		$15.34	$29.17	$56.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.96 / $10.25	Professional		$7.23	$7.96	$10.25
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $16.00 / $35.68	Facility		$7.88	$16.00	$35.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $55.30 / $127.60	Facility		$14.01	$55.30	$127.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $19.34 / $29.10	Professional		$9.02	$19.34	$29.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $114.12 / $158.74	Facility		$110.45	$114.12	$158.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $14.91 / $40.20	Facility		$7.83	$14.91	$40.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $13.63 / $17.04	Professional		$5.71	$13.63	$17.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $12.68	Facility		$12.05	$12.05	$12.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $12.05 / $12.68	Professional		$10.60	$12.05	$12.68
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.26 / $20.49	Professional		$4.84	$7.26	$20.49