Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $67.43 / $94.90	Facility		$21.84	$67.43	$94.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $16.05 / $22.60	Professional		$13.91	$16.05	$22.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $17.98	Professional		$10.79	$10.79	$17.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $27.52 / $574.53	Facility		$10.94	$27.52	$574.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $117.69 / $8,639.91	Facility		$90.63	$117.69	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $14.02	Professional		$14.02	$14.02	$14.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $23.95 / $59.76	Facility		$11.82	$23.95	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.65 / $31.31	Professional		$11.34	$20.65	$31.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $10.61 / $24.34	Professional		$5.91	$10.61	$24.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $49.02 / $89.78	Facility		$26.06	$49.02	$89.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $15.56 / $17.50	Professional		$10.79	$15.56	$17.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $25.47 / $58.13	Facility		$12.83	$25.47	$58.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $60.84 / $99.60	Facility		$20.82	$60.84	$99.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $16.09 / $24.69	Professional		$12.95	$16.09	$24.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $207.98 / $214.91 / $298.95	Facility		$207.98	$214.91	$298.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $27.31 / $59.76	Facility		$12.04	$27.31	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.65 / $31.31	Professional		$11.34	$20.65	$31.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $17.98 / $23.35	Professional		$15.82	$17.98	$23.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $11.81 / $30.57	Professional		$8.09	$11.81	$30.57