Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $130.44 / $224.00	Facility		$44.72	$130.44	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $40.59 / $223.00	Professional		$26.64	$40.59	$223.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $37.27 / $37.27	Professional		$37.27	$37.27	$37.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $503.39 / $503.39 / $503.39	Facility		$503.39	$503.39	$503.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $173.63 / $231.37 / $8,459.92	Facility		$173.63	$231.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $29.07 / $29.07	Professional		$29.07	$29.07	$29.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $55.14 / $123.87	Facility		$35.38	$55.14	$123.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $36.08 / $84.43	Professional		$20.90	$36.08	$84.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $50.31 / $70.81	Professional		$22.18	$50.31	$70.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $96.90 / $177.09	Facility		$53.32	$96.90	$177.09
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $503.39 / $503.39 / $637.76	Facility		$503.39	$503.39	$637.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $146.22 / $239.94	Facility		$37.27	$146.22	$239.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $50.37 / $212.22	Professional		$29.44	$50.37	$212.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $99.44 / $138.32	Facility		$96.23	$99.44	$138.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $55.16 / $124.00	Professional		$39.50	$55.16	$124.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $62.02 / $123.87	Facility		$36.21	$62.02	$123.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $39.81 / $84.43	Professional		$22.05	$39.81	$84.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $37.27 / $37.27	Facility		$37.27	$37.27	$37.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $37.27 / $37.27	Professional		$34.57	$37.27	$37.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $55.91	Professional		$15.65	$22.36	$55.91