Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $82.79 / $150.69	Facility		$19.46	$82.79	$150.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $20.81 / $41.62	Professional		$17.44	$20.81	$41.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $93.59 / $605.35	Facility		$32.50	$93.59	$605.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $136.26 / $8,639.91	Facility		$104.93	$136.26	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $27.72 / $69.54	Facility		$13.67	$27.72	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.64 / $28.18	Professional		$9.57	$16.64	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $50.23 / $118.42	Facility		$27.12	$50.23	$118.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $16.25 / $20.00	Professional		$12.49	$16.25	$20.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $88.32 / $201.59	Facility		$26.01	$88.32	$201.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $78.04 / $174.90	Facility		$17.70	$78.04	$174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $22.76 / $41.62	Professional		$16.44	$22.76	$41.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $101.17 / $104.54 / $145.41	Facility		$101.17	$104.54	$145.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $31.61 / $69.54	Facility		$13.94	$31.61	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.81 / $29.62	Professional		$18.30	$20.81	$29.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $13.53 / $36.46	Professional		$8.74	$13.53	$36.46