Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $68.00 / $539.70	Facility		$22.21	$68.00	$539.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $27.18 / $326.50	Professional		$12.74	$27.18	$326.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $8.99 / $8.99	Professional		$7.50	$8.99	$8.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $55.78 / $5,367.60	Facility		$19.94	$55.78	$5,367.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $98.18 / $8,639.91	Facility		$75.61	$98.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Professional		$11.69	$11.69	$11.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $19.95 / $49.98	Facility		$10.37	$19.95	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.93 / $26.23	Professional		$9.47	$16.93	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.84 / $20.30	Professional		$6.90	$8.84	$20.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $39.08 / $92.47	Facility		$20.25	$39.08	$92.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.75 / $14.50	Professional		$8.99	$12.75	$14.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $52.74 / $123.68	Facility		$17.23	$52.74	$123.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $64.84 / $462.95	Facility		$19.36	$64.84	$462.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.35 / $307.05	Professional		$11.84	$13.35	$307.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $428.95 / $443.20 / $616.52	Facility		$428.95	$443.20	$616.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $22.79 / $49.98	Facility		$10.02	$22.79	$49.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.93 / $26.23	Professional		$9.47	$16.93	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Facility		$14.99	$14.99	$14.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $14.99 / $21.34	Professional		$13.19	$14.99	$21.34
United Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $8.80 / $8.80	Facility		$8.80	$8.80	$8.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.06 / $27.43	Professional		$6.75	$10.06	$27.43