Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $179.15 / $362.56	Facility		$51.41	$179.15	$362.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $36.40 / $275.45	Professional		$33.15	$36.40	$275.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $165.12 / $1,584.44	Facility		$59.01	$165.12	$1,584.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $287.83 / $8,459.92	Facility		$216.01	$287.83	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $65.08 / $142.35	Facility		$40.65	$65.08	$142.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $41.23 / $97.02	Professional		$25.06	$41.23	$97.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $57.83 / $81.40	Professional		$25.49	$57.83	$81.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $112.47 / $267.23	Facility		$61.64	$112.47	$267.23
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $156.10 / $366.08	Facility		$49.27	$156.10	$366.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $170.07 / $390.00	Facility		$47.70	$170.07	$390.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $54.82 / $268.61	Professional		$33.84	$54.82	$268.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $605.62 / $625.79 / $870.53	Facility		$605.62	$625.79	$870.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $60.30 / $71.09	Professional		$48.20	$60.30	$71.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $71.28 / $142.35	Facility		$41.56	$71.28	$142.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $45.92 / $97.02	Professional		$26.87	$45.92	$97.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $43.70	Professional		$42.84	$42.84	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $78.40	Professional		$17.98	$25.70	$78.40