Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $89.10 / $215.65	Facility		$31.26	$89.10	$215.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $41.97 / $79.84	Professional		$28.42	$41.97	$79.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $320.63 / $320.63 / $320.63	Facility		$320.63	$320.63	$320.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $24.21 / $221.23	Professional		$22.81	$24.21	$221.23
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 $22.05 / $34.14 / $71.95	Professional		$22.05	$34.14	$71.95
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 $48.25 / $100.62 / $163.16	Facility		$48.25	$100.62	$163.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $320.63 / $320.63 / $406.21	Facility		$320.63	$320.63	$406.21
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $221.23	Professional		$22.81	$35.09	$221.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $102.40 / $258.95	Facility		$35.09	$102.40	$258.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $46.17 / $144.91	Professional		$28.42	$46.17	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $49.40 / $58.30	Professional		$39.50	$49.40	$58.30
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 $22.58 / $37.64 / $79.23	Professional		$22.58	$37.64	$79.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $49.96	Professional		$49.96	$49.96	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $35.09 / $61.50	Professional		$21.05	$35.09	$61.50