Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $66.17 / $128.52	Facility		$20.18	$66.17	$128.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $13.76 / $25.01	Professional		$11.32	$13.76	$25.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.18 / $15.29	Professional		$9.17	$9.18	$15.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $60.53 / $540.24	Facility		$21.63	$60.53	$540.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.16 / $100.20 / $8,639.91	Facility		$77.16	$100.20	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $11.93 / $11.93	Professional		$11.93	$11.93	$11.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $20.36 / $51.07	Facility		$10.05	$20.36	$51.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $17.35 / $26.66	Professional		$9.63	$17.35	$26.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $12.23 / $20.70	Professional		$7.03	$12.23	$20.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $38.64 / $85.25	Facility		$22.31	$38.64	$85.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $14.50 / $14.50	Professional		$9.17	$14.50	$14.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $57.22 / $134.19	Facility		$17.57	$57.22	$134.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $63.15 / $140.25	Facility		$16.80	$63.15	$140.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.76 / $38.60	Professional		$11.93	$13.76	$38.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $170.94 / $237.81	Facility		$165.44	$170.94	$237.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $23.25 / $51.07	Facility		$10.24	$23.25	$51.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $17.35 / $26.66	Professional		$9.63	$17.35	$26.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $15.29 / $21.77	Professional		$13.46	$15.29	$21.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.78 / $30.77	Professional		$6.42	$9.78	$30.77