Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $139.05 / $231.00	Facility		$29.83	$139.05	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $26.76 / $53.52	Professional		$24.56	$26.76	$53.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $85.24 / $6,876.58	Facility		$35.56	$85.24	$6,876.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $173.63 / $231.37 / $8,459.92	Facility		$173.63	$231.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $33.19	Professional		$27.37	$27.37	$33.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $48.01 / $116.27	Facility		$23.07	$48.01	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $33.68 / $57.94	Professional		$14.39	$33.68	$57.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $36.84 / $59.30	Professional		$16.14	$36.84	$59.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $89.39 / $164.02	Facility		$45.73	$89.39	$164.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $29.83 / $36.85	Professional		$21.05	$29.83	$36.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $80.58 / $188.98	Facility		$35.09	$80.58	$188.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $105.35 / $231.00	Facility		$29.84	$105.35	$231.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $27.72 / $144.91	Professional		$25.17	$27.72	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $64.67 / $81.36	Facility		$62.59	$64.67	$81.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.63 / $70.18	Professional		$39.50	$52.63	$70.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $54.08 / $116.27	Facility		$23.49	$54.08	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $33.68 / $61.36	Professional		$14.39	$33.68	$61.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $35.09 / $35.09	Professional		$30.88	$35.09	$35.09
United Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $21.11 / $21.11	Facility		$21.11	$21.11	$21.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $60.32	Professional		$14.74	$21.05	$60.32