Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $143.21 / $240.64	Facility		$32.08	$143.21	$240.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $33.95 / $49.63	Professional		$29.81	$33.95	$49.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $37.72 / $62.25	Professional		$22.64	$37.72	$62.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $143.54 / $551.66	Facility		$49.84	$143.54	$551.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $190.24 / $247.04 / $8,639.91	Facility		$190.24	$247.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $29.43 / $29.43	Professional		$29.43	$29.43	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $50.23 / $124.96	Facility		$24.80	$50.23	$124.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $43.37 / $66.01	Professional		$23.61	$43.37	$66.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.26 / $51.09	Professional		$16.14	$22.26	$51.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $93.77 / $198.66	Facility		$52.20	$93.77	$198.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $36.00 / $37.79	Professional		$22.64	$36.00	$37.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $135.46 / $309.19	Facility		$47.16	$135.46	$309.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $125.83 / $284.76	Facility		$35.28	$125.83	$284.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $34.20 / $95.24	Professional		$29.81	$34.20	$95.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $114.47 / $159.24	Facility		$110.78	$114.47	$159.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $57.30 / $124.96	Facility		$25.26	$57.30	$124.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $43.37 / $66.01	Professional		$23.61	$43.37	$66.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $37.72 / $53.69	Professional		$33.20	$37.72	$53.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.13 / $66.09	Professional		$16.98	$23.13	$66.09