Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $133.01 / $303.67	Facility		$59.88	$133.01	$303.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $41.97 / $220.01	Professional		$28.42	$41.97	$220.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $35.09 / $35.09	Professional		$17.55	$35.09	$35.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $139.22 / $1,805.60	Facility		$48.34	$139.22	$1,805.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $29.17 / $39.99	Professional		$22.81	$29.17	$39.99
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 $54.98 / $95.53 / $205.25	Facility		$54.98	$95.53	$205.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $46.07 / $71.55	Professional		$41.95	$46.07	$71.55
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $131.38 / $299.91	Facility		$43.86	$131.38	$299.91
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $23.73 / $39.99	Professional		$22.81	$23.73	$39.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $139.31 / $326.43	Facility		$41.20	$139.31	$326.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $46.17 / $144.91	Professional		$28.42	$46.17	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $219.33 / $305.10	Facility		$212.26	$219.33	$305.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $51.93 / $70.18	Professional		$29.83	$51.93	$70.18
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 / $55.32	Professional		$14.74	$21.53	$55.32