Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $86.73 / $143.22	Facility		$14.07	$86.73	$143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $21.40 / $56.00	Professional		$10.85	$21.40	$56.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $903.92 / $903.92 / $903.92	Facility		$903.92	$903.92	$903.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $11.19	Professional		$10.76	$10.76	$11.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.12 / $8,639.91	Facility		$55.54	$72.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $12.91	Professional		$12.91	$12.91	$12.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $21.52 / $55.42	Facility		$10.88	$21.52	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $18.75 / $24.81	Professional		$7.87	$18.75	$24.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $13.24 / $22.41	Professional		$7.61	$13.24	$22.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $45.50 / $55.84	Facility		$34.96	$45.50	$55.84
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $903.92 / $903.92 / $1,145.20	Facility		$903.92	$903.92	$1,145.20
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $18.11	Professional		$10.76	$10.76	$18.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $55.44 / $136.51	Facility		$14.08	$55.44	$136.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.55 / $59.00	Professional		$11.05	$16.55	$59.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,153.98 / $1,416.91	Facility		$1,003.93	$1,153.98	$1,416.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $22.04 / $55.42	Facility		$11.04	$22.04	$55.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $18.75 / $23.75	Professional		$7.46	$18.75	$23.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $14.00 / $18.21	Professional		$9.65	$14.00	$18.21