Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $79.92 / $146.88	Facility		$29.77	$79.92	$146.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.42 / $34.58	Professional		$14.51	$17.42	$34.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $19.35	Professional		$11.61	$11.61	$19.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $81.17 / $1,801.63	Facility		$29.01	$81.17	$1,801.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $126.75 / $8,639.91	Facility		$97.61	$126.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $25.77 / $64.11	Facility		$13.38	$25.77	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $14.65 / $26.20	Professional		$8.90	$14.65	$26.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $50.57 / $107.06	Facility		$27.36	$50.57	$107.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $16.45 / $20.35	Professional		$11.61	$16.45	$20.35
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $76.73 / $179.95	Facility		$22.25	$76.73	$179.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $82.74 / $173.60	Facility		$25.92	$82.74	$173.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $41.41	Professional		$14.32	$17.42	$41.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $244.08 / $252.18 / $350.81	Facility		$244.08	$252.18	$350.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $29.40 / $64.11	Facility		$12.96	$29.40	$64.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.30 / $33.85	Professional		$12.11	$22.30	$33.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $19.35 / $27.55	Professional		$17.03	$19.35	$27.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $13.29	Facility		$9.68	$9.68	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.82 / $33.90	Professional		$8.71	$12.82	$33.90