Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $98.63 / $283.20	Facility		$29.83	$98.63	$283.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $38.38 / $52.63	Professional		$27.16	$38.38	$52.63
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 $48.34 / $135.28 / $451.20	Facility		$48.34	$135.28	$451.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $46.11	Professional		$22.81	$35.09	$46.11
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 / $51.76 / $116.27	Facility		$33.29	$51.76	$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 $54.99 / $81.92 / $202.56	Facility		$54.99	$81.92	$202.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $127.88 / $299.91	Facility		$40.35	$127.88	$299.91
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $36.84	Professional		$22.81	$22.81	$36.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $95.42 / $283.20	Facility		$36.94	$95.42	$283.20
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 $91.47 / $94.51 / $131.46	Facility		$91.47	$94.51	$131.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.30 / $84.00	Professional		$39.50	$54.30	$84.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $56.69 / $116.27	Facility		$34.00	$56.69	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $37.64 / $79.23	Professional		$21.59	$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 $29.42 / $29.42 / $58.85	Facility		$29.42	$29.42	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.32	Professional		$14.74	$21.05	$55.32