Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $79.95 / $158.71	Facility		$36.36	$79.95	$158.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $20.47 / $35.49	Professional		$7.00	$20.47	$35.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $14.45 / $39.72	Professional		$4.82	$14.45	$39.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $70.05 / $278.32	Facility		$26.56	$70.05	$278.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $15.65	Professional		$15.65	$15.65	$15.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $153.03 / $8,639.91	Facility		$117.85	$153.03	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $18.78	Professional		$18.78	$18.78	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $31.30 / $69.95	Facility		$16.12	$31.30	$69.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $27.67 / $42.31	Professional		$15.07	$27.67	$42.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $18.67 / $32.60	Professional		$11.08	$18.67	$32.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $62.78 / $125.07	Facility		$24.92	$62.78	$125.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.29 / $39.57	Professional		$14.45	$20.29	$39.57
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $66.09 / $150.88	Facility		$26.56	$66.09	$150.88
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $15.65	Professional		$15.65	$15.65	$15.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $80.64 / $171.36	Facility		$24.60	$80.64	$171.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.99 / $36.11	Professional		$15.65	$20.99	$36.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $210.17 / $217.15 / $302.08	Facility		$210.17	$217.15	$302.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $36.60 / $80.41	Facility		$16.12	$36.60	$80.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $27.67 / $42.31	Professional		$15.07	$27.67	$42.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $30.79	Facility		$30.79	$30.79	$30.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $30.79	Professional		$30.79	$30.79	$30.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.80 / $44.07	Professional		$10.84	$16.80	$44.07