Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $54.23 / $108.46	Facility		$19.70	$54.23	$108.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.68 / $26.10	Professional		$9.64	$11.68	$26.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $21.53	Professional		$7.83	$7.83	$21.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $63.59 / $1,222.11	Facility		$22.73	$63.59	$1,222.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $85.48 / $8,639.91	Facility		$65.83	$85.48	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $10.18	Professional		$10.18	$10.18	$10.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $17.37 / $43.46	Facility		$8.58	$17.37	$43.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $14.92 / $22.85	Professional		$8.23	$14.92	$22.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.11 / $17.67	Professional		$6.00	$8.11	$17.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $32.17 / $68.11	Facility		$17.62	$32.17	$68.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $12.50 / $20.36	Professional		$7.83	$12.50	$20.36
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $60.12 / $140.99	Facility		$15.01	$60.12	$140.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $51.81 / $132.86	Facility		$14.35	$51.81	$132.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.74 / $30.83	Professional		$9.78	$11.74	$30.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $558.86 / $577.39 / $803.22	Facility		$558.86	$577.39	$803.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $19.82 / $43.46	Facility		$8.73	$19.82	$43.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $14.92 / $22.85	Professional		$8.23	$14.92	$22.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Facility		$13.05	$13.05	$13.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.05 / $18.57	Professional		$11.48	$13.05	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $8.35 / $22.87	Professional		$5.48	$8.35	$22.87