Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $64.11 / $139.59	Facility		$29.68	$64.11	$139.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.45 / $40.27	Professional		$7.56	$12.45	$40.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $8.56 / $14.27	Professional		$8.56	$8.56	$14.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $56.55 / $1,301.15	Facility		$19.64	$56.55	$1,301.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $93.47 / $8,639.91	Facility		$71.98	$93.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Professional		$11.13	$11.13	$11.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $19.01 / $47.81	Facility		$9.86	$19.01	$47.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $24.97	Professional		$9.01	$16.52	$24.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $10.10 / $19.32	Professional		$6.56	$10.10	$19.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $40.18 / $105.47	Facility		$22.66	$40.18	$105.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $13.50 / $23.45	Professional		$8.56	$13.50	$23.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $53.37 / $121.82	Facility		$17.84	$53.37	$121.82
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $59.66 / $178.06	Facility		$15.89	$59.66	$178.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.73 / $40.51	Professional		$10.27	$12.73	$40.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $347.85 / $359.41 / $499.98	Facility		$347.85	$359.41	$499.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $21.68 / $47.81	Facility		$9.56	$21.68	$47.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $24.97	Professional		$9.01	$16.52	$24.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.75 / $24.83	Professional		$5.99	$8.75	$24.83