Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $101.76 / $158.03	Facility		$29.84	$101.76	$158.03
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 $451.53 / $451.53 / $451.53	Facility		$451.53	$451.53	$451.53
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 $67.40 / $91.53 / $196.00	Facility		$67.40	$91.53	$196.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $451.53 / $451.53 / $572.05	Facility		$451.53	$451.53	$572.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $99.47 / $214.18	Facility		$32.81	$99.47	$214.18
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 $734.84 / $756.00 / $1,003.93	Facility		$734.84	$756.00	$1,003.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.63 / $70.18	Professional		$39.50	$52.63	$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 / $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 Facility Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Facility		$20.60	$20.60	$20.60
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $57.46	Professional		$14.74	$21.05	$57.46