Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $96.92 / $215.60	Facility		$46.32	$96.92	$215.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $40.60 / $151.19	Professional		$28.07	$40.60	$151.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $228.30 / $228.30 / $228.30	Facility		$228.30	$228.30	$228.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $35.09 / $59.07	Professional		$33.69	$35.09	$59.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $219.82 / $8,459.92	Facility		$164.96	$219.82	$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 / $51.76 / $116.27	Facility		$33.29	$51.76	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $37.51 / $79.23	Professional		$20.81	$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 $50.02 / $90.88 / $177.76	Facility		$50.02	$90.88	$177.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $51.10 / $69.18	Professional		$33.50	$51.10	$69.18
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $228.30 / $228.30 / $289.23	Facility		$228.30	$228.30	$289.23
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $35.09 / $59.07	Professional		$33.69	$35.09	$59.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $105.27 / $236.34	Facility		$35.85	$105.27	$236.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $44.66 / $144.91	Professional		$28.42	$44.66	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $95.64 / $133.04	Facility		$92.56	$95.64	$133.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $51.93 / $104.80	Professional		$29.83	$51.93	$104.80
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 $20.81 / $37.64 / $79.23	Professional		$20.81	$37.64	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $52.54	Facility		$35.09	$35.09	$52.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $52.54	Professional		$35.09	$35.09	$52.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $57.31	Professional		$14.74	$21.05	$57.31