Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $177.66 / $299.13	Facility		$52.31	$177.66	$299.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $42.28 / $70.45	Professional		$8.36	$42.28	$70.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $46.98 / $77.52	Professional		$28.19	$46.98	$77.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $200.96 / $805.14	Facility		$69.78	$200.96	$805.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $236.94 / $307.67 / $8,639.91	Facility		$236.94	$307.67	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Professional		$36.64	$36.64	$36.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $62.57 / $155.38	Facility		$30.88	$62.57	$155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.10 / $82.51	Professional		$29.51	$54.10	$82.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $37.58 / $63.61	Professional		$21.61	$37.58	$63.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $111.22 / $261.33	Facility		$63.06	$111.22	$261.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $45.00 / $47.25	Professional		$28.19	$45.00	$47.25
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $189.64 / $432.87	Facility		$58.73	$189.64	$432.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $158.32 / $409.64	Facility		$43.92	$158.32	$409.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $42.60 / $118.59	Professional		$37.11	$42.60	$118.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $385.18 / $398.00 / $553.66	Facility		$385.18	$398.00	$553.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $71.38 / $155.38	Facility		$31.46	$71.38	$155.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.10 / $82.51	Professional		$29.51	$54.10	$82.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Facility		$46.98	$46.98	$46.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $46.98 / $66.88	Professional		$41.34	$46.98	$66.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $30.07 / $82.32	Professional		$21.14	$30.07	$82.32