Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $88.78 / $212.40	Facility		$30.31	$88.78	$212.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.04 / $23.38	Professional		$16.78	$23.04	$23.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $108.22 / $3,090.35	Facility		$38.68	$108.22	$3,090.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $169.00 / $8,639.91	Facility		$130.13	$169.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Professional		$20.13	$20.13	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $34.38 / $85.84	Facility		$16.96	$34.38	$85.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.74 / $45.28	Professional		$16.14	$29.74	$45.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.23 / $34.95	Professional		$11.87	$15.23	$34.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $84.73 / $143.52	Facility		$43.55	$84.73	$143.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.25 / $25.00	Professional		$15.49	$20.25	$25.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $102.31 / $239.93	Facility		$29.68	$102.31	$239.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $79.31 / $210.60	Facility		$21.95	$79.31	$210.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.11 / $60.99	Professional		$16.78	$23.11	$60.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $198.30 / $198.30 / $249.47	Facility		$198.30	$198.30	$249.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $39.20 / $85.84	Facility		$17.28	$39.20	$85.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.74 / $45.28	Professional		$16.14	$29.74	$45.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Facility		$25.81	$25.81	$25.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $25.81 / $36.72	Professional		$22.71	$25.81	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $16.96 / $45.22	Professional		$11.61	$16.96	$45.22