Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $158.03 / $532.79	Facility		$38.59	$158.03	$532.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $40.59 / $52.63	Professional		$27.72	$40.59	$52.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $133.75 / $133.75 / $133.75	Facility		$133.75	$133.75	$133.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $36.84	Professional		$22.81	$35.09	$36.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $235.88 / $8,459.92	Facility		$177.01	$235.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $53.31 / $116.27	Facility		$33.29	$53.31	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $37.51 / $79.23	Professional		$20.83	$37.51	$79.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $47.37 / $66.67	Professional		$20.88	$47.37	$66.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $95.70 / $186.54	Facility		$49.61	$95.70	$186.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $63.65	Professional		$40.00	$40.00	$63.65
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $133.75 / $133.75 / $169.45	Facility		$133.75	$133.75	$169.45
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $36.84	Professional		$22.81	$22.81	$36.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $144.91 / $483.91	Facility		$37.26	$144.91	$483.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $43.86 / $144.91	Professional		$28.42	$43.86	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $585.52 / $610.63 / $831.38	Facility		$585.52	$610.63	$831.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.63 / $110.40	Professional		$39.50	$52.63	$110.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $58.38 / $116.27	Facility		$34.00	$58.38	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $39.78 / $79.23	Professional		$22.05	$39.78	$79.23
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 $35.09 / $35.09 / $35.79	Professional		$35.09	$35.09	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.53 / $57.46	Professional		$14.74	$21.53	$57.46