Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $57.06 / $98.07	Facility		$19.91	$57.06	$98.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.88 / $23.58	Professional		$9.75	$11.88	$23.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $13.19	Professional		$7.91	$7.91	$13.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $63.59 / $1,008.11	Facility		$22.73	$63.59	$1,008.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $86.33 / $8,639.91	Facility		$66.48	$86.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Professional		$10.29	$10.29	$10.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $17.55 / $43.46	Facility		$9.13	$17.55	$43.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $23.27	Professional		$8.23	$15.28	$23.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.78 / $17.86	Professional		$6.07	$7.78	$17.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $35.04 / $69.83	Facility		$18.80	$35.04	$69.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $12.50 / $13.75	Professional		$7.91	$12.50	$13.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $60.12 / $140.99	Facility		$15.17	$60.12	$140.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $56.45 / $128.69	Facility		$16.02	$56.45	$128.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.88 / $29.65	Professional		$9.89	$11.88	$29.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $146.97 / $204.47	Facility		$142.27	$146.97	$204.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $20.03 / $43.46	Facility		$8.83	$20.03	$43.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.28 / $23.27	Professional		$8.23	$15.28	$23.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Facility		$13.19	$13.19	$13.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $13.19 / $18.78	Professional		$11.61	$13.19	$18.78
United Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $15.83 / $15.83	Facility		$11.87	$15.83	$15.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $23.10	Professional		$5.54	$7.91	$23.10