Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $65.17 / $121.57	Facility		$24.49	$65.17	$121.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $14.21 / $26.00	Professional		$4.33	$14.21	$26.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $15.91	Professional		$9.55	$9.55	$15.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $61.44 / $983.56	Facility		$21.33	$61.44	$983.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $104.14 / $8,639.91	Facility		$80.20	$104.14	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Professional		$12.41	$12.41	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $21.18 / $53.24	Facility		$11.01	$21.18	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.93	Professional		$9.94	$18.17	$27.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $12.73 / $21.54	Professional		$7.32	$12.73	$21.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $42.36 / $79.65	Facility		$25.00	$42.36	$79.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.50 / $24.82	Professional		$9.55	$15.50	$24.82
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $57.97 / $132.33	Facility		$19.89	$57.97	$132.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $63.16 / $129.15	Facility		$17.50	$63.16	$129.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $14.32 / $34.04	Professional		$11.77	$14.32	$34.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $583.74 / $656.52 / $833.62	Facility		$583.74	$656.52	$833.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $24.16 / $53.24	Facility		$10.65	$24.16	$53.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.17 / $27.93	Professional		$9.94	$18.17	$27.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Facility		$15.91	$15.91	$15.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.91 / $22.64	Professional		$14.00	$15.91	$22.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $12.99 / $29.12	Professional		$7.16	$12.99	$29.12