Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $101.76 / $146.75	Facility		$29.83	$101.76	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $40.99 / $121.09	Professional		$27.72	$40.99	$121.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $375.48 / $375.48 / $375.48	Facility		$375.48	$375.48	$375.48
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 $20.60 / $33.71 / $79.23	Professional		$20.60	$33.71	$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 $50.02 / $82.50 / $196.00	Facility		$50.02	$82.50	$196.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $375.48 / $375.48 / $475.71	Facility		$375.48	$375.48	$475.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $101.76 / $156.31	Facility		$31.26	$101.76	$156.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $41.97 / $144.91	Professional		$27.72	$41.97	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $576.13 / $576.13 / $576.13	Facility		$576.13	$576.13	$576.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $49.40 / $62.64	Professional		$29.83	$49.40	$62.64
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 / $37.64 / $79.23	Professional		$22.05	$37.64	$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 / $21.76 / $55.13	Professional		$14.74	$21.76	$55.13