Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $82.62 / $152.25	Facility		$17.70	$82.62	$152.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $18.55 / $31.21	Professional		$16.86	$18.55	$31.21
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 / $302.67	Facility		$32.50	$93.59	$302.67
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 $28.79 / $57.31 / $136.36	Facility		$28.79	$57.31	$136.36
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 / $70.30 / $148.05	Facility		$17.70	$70.30	$148.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $20.80 / $71.81	Professional		$16.10	$20.80	$71.81
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 $9.36 / $13.32 / $36.21	Professional		$9.36	$13.32	$36.21