Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $89.90 / $151.60	Facility		$24.43	$89.90	$151.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $19.47 / $36.52	Professional		$17.87	$19.47	$36.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.40 / $13.40	Professional		$11.17	$13.40	$13.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $98.47 / $566.58	Facility		$34.19	$98.47	$566.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $146.30 / $8,639.91	Facility		$112.67	$146.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $17.43 / $17.43	Professional		$17.43	$17.43	$17.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $29.75 / $73.89	Facility		$14.68	$29.75	$73.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $27.94 / $64.34	Professional		$18.96	$27.94	$64.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $17.87 / $30.25	Professional		$10.28	$17.87	$30.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $57.80 / $103.89	Facility		$30.23	$57.80	$103.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $17.36 / $21.31	Professional		$13.40	$17.36	$21.31
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $92.92 / $212.10	Facility		$27.93	$92.92	$212.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $83.63 / $152.05	Facility		$22.34	$83.63	$152.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.00 / $56.40	Professional		$17.64	$20.00	$56.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $164.19 / $228.39	Facility		$158.88	$164.19	$228.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $33.94 / $73.89	Facility		$14.96	$33.94	$73.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $27.94 / $48.36	Professional		$18.96	$27.94	$48.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $31.80	Facility		$22.34	$22.34	$31.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $22.34 / $31.80	Professional		$19.66	$22.34	$31.80
United Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.68 / $42.45	Professional		$10.05	$14.68	$42.45