Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $85.95 / $161.38	Facility		$24.44	$85.95	$161.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.63 / $34.01	Professional		$16.64	$18.63	$34.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $20.81	Professional		$12.49	$12.49	$20.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $93.59 / $618.27	Facility		$32.50	$93.59	$618.27
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 $28.29 / $56.75 / $139.57	Facility		$28.29	$56.75	$139.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $18.25 / $25.05	Professional		$12.49	$18.25	$25.05
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 $20.81 / $82.45 / $181.04	Facility		$20.81	$82.45	$181.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $18.87 / $49.18	Professional		$16.23	$18.87	$49.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $161.38 / $289.89	Facility		$144.06	$161.38	$289.89
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 / $13.67 / $36.46	Professional		$9.36	$13.67	$36.46