Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $139.68 / $322.42	Facility		$41.21	$139.68	$322.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $39.72 / $215.80	Professional		$27.72	$39.72	$215.80
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 $223.55 / $223.55 / $223.55	Facility		$223.55	$223.55	$223.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $36.84	Professional		$22.81	$35.09	$36.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $165.34 / $220.32 / $8,459.92	Facility		$165.34	$220.32	$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 $54.49 / $93.77 / $162.18	Facility		$54.49	$93.77	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $49.32 / $63.65	Professional		$27.15	$49.32	$63.65
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $223.55 / $223.55 / $283.22	Facility		$223.55	$223.55	$283.22
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 / $134.40 / $304.56	Facility		$36.94	$134.40	$304.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $42.63 / $144.91	Professional		$28.42	$42.63	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $477.14 / $493.03 / $685.86	Facility		$477.14	$493.03	$685.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $52.63 / $138.40	Professional		$34.14	$52.63	$138.40
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 / $52.66	Facility		$35.09	$35.09	$52.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $52.66	Professional		$35.09	$35.09	$52.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13