Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $46.93 / $81.72	Facility		$17.41	$46.93	$81.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.05 / $56.00	Professional		$10.70	$14.05	$56.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $43.64 / $206.75	Facility		$17.69	$43.64	$206.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $10.74 / $11.17	Professional		$9.13	$10.74	$11.17
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 $12.89 / $12.89 / $35.69	Professional		$12.89	$12.89	$35.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $21.48 / $54.33	Facility		$10.86	$21.48	$54.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $18.75 / $24.81	Professional		$7.71	$18.75	$24.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $9.75 / $22.38	Professional		$3.79	$9.75	$22.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $45.78 / $155.53	Facility		$30.76	$45.78	$155.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $10.99 / $10.99	Professional		$10.99	$10.99	$10.99
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $41.18 / $93.99	Facility		$17.69	$41.18	$93.99
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $10.74 / $18.11	Professional		$9.13	$10.74	$18.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $43.39 / $93.77	Facility		$14.05	$43.39	$93.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.53 / $59.00	Professional		$11.05	$16.53	$59.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,162.75 / $1,477.80	Facility		$1,003.93	$1,162.75	$1,477.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $22.00 / $54.33	Facility		$11.04	$22.00	$54.33
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 Facility Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Facility		$7.04	$7.04	$7.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $15.39 / $28.10	Professional		$9.65	$15.39	$28.10