Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $82.20 / $250.89	Facility		$25.40	$82.20	$250.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $29.56 / $47.46	Professional		$15.20	$29.56	$47.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $18.14	Professional		$10.89	$10.89	$18.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $74.06 / $475.13	Facility		$25.72	$74.06	$475.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $118.76 / $8,639.91	Facility		$91.46	$118.76	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Professional		$14.15	$14.15	$14.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $24.15 / $59.76	Facility		$11.93	$24.15	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.66 / $31.74	Professional		$11.34	$20.66	$31.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $14.51 / $24.56	Professional		$8.34	$14.51	$24.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $46.22 / $93.69	Facility		$25.09	$46.22	$93.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $17.50 / $17.50	Professional		$10.88	$17.50	$17.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $69.89 / $159.54	Facility		$22.68	$69.89	$159.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $85.74 / $264.00	Facility		$23.43	$85.74	$264.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $25.40 / $45.79	Professional		$14.69	$25.40	$45.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $217.52 / $224.74 / $312.64	Facility		$217.52	$224.74	$312.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $27.56 / $59.76	Facility		$12.14	$27.56	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.66 / $31.74	Professional		$11.34	$20.66	$31.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Facility		$18.14	$18.14	$18.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $18.14 / $25.82	Professional		$15.96	$18.14	$25.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $11.12 / $31.78	Professional		$7.62	$11.12	$31.78