Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.91 / $134.40 / $309.35	Facility		$58.91	$134.40	$309.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $41.97 / $211.00	Professional		$28.07	$41.97	$211.00
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 / $1,352.34	Facility		$48.34	$139.22	$1,352.34
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 / $94.41 / $205.25	Facility		$54.98	$94.41	$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 $45.62 / $140.35 / $333.84	Facility		$45.62	$140.35	$333.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $45.44 / $144.91	Professional		$28.42	$45.44	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.92 / $242.71 / $337.64	Facility		$234.92	$242.71	$337.64
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 / $21.05 / $55.32	Professional		$14.74	$21.05	$55.32