Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $175.45 / $421.20	Facility		$52.00	$175.45	$421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $41.97 / $182.00	Professional		$28.07	$41.97	$182.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $139.22 / $4,284.64	Facility		$48.34	$139.22	$4,284.64
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 $20.60 / $33.71 / $79.23	Professional		$20.60	$33.71	$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 $49.30 / $98.88 / $234.57	Facility		$49.30	$98.88	$234.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $63.65	Professional		$40.00	$40.00	$63.65
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $131.41 / $299.91	Facility		$43.86	$131.41	$299.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $174.22 / $464.03	Facility		$40.64	$174.22	$464.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $46.67 / $177.00	Professional		$28.42	$46.67	$177.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $51.93 / $70.18	Professional		$39.50	$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 / $37.64 / $79.23	Professional		$22.05	$37.64	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $49.96	Facility		$35.09	$35.09	$49.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $49.96	Professional		$35.09	$35.09	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $57.46	Professional		$14.74	$21.05	$57.46