Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $98.77 / $316.39	Facility		$37.65	$98.77	$316.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $26.60 / $30.89	Professional		$12.70	$26.60	$30.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.49 / $15.49	Professional		$9.30	$15.49	$15.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $59.69 / $3,783.16	Facility		$21.33	$59.69	$3,783.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $101.41 / $8,639.91	Facility		$78.09	$101.41	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Professional		$12.08	$12.08	$12.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $20.63 / $51.07	Facility		$10.18	$20.63	$51.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.76 / $27.08	Professional		$9.77	$17.76	$27.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.39 / $20.97	Professional		$7.13	$12.39	$20.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $38.86 / $123.77	Facility		$21.64	$38.86	$123.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $12.15 / $15.75	Professional		$9.28	$12.15	$15.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $56.43 / $132.33	Facility		$17.80	$56.43	$132.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $90.39 / $342.40	Facility		$21.69	$90.39	$342.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $24.78 / $39.11	Professional		$11.98	$24.78	$39.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $577.78 / $577.78 / $726.88	Facility		$577.78	$577.78	$726.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $23.53 / $51.07	Facility		$10.37	$23.53	$51.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.76 / $27.08	Professional		$9.77	$17.76	$27.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $15.49 / $22.04	Professional		$13.63	$15.49	$22.04
United Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $25.97	Facility		$12.98	$12.98	$25.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.17 / $27.13	Professional		$6.97	$10.17	$27.13