Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $87.66 / $132.00	Facility		$33.34	$87.66	$132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $29.59 / $70.23	Professional		$17.54	$29.59	$70.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $36.74 / $45.05	Professional		$11.25	$36.74	$45.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $25.46 / $35.61	Professional		$22.36	$25.46	$35.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $126.28 / $178.55	Facility		$90.73	$126.28	$178.55
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $36.15 / $57.93	Professional		$24.49	$36.15	$57.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $39.21 / $47.86	Facility		$39.21	$39.21	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $17.53 / $35.79	Professional		$11.10	$17.53	$35.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $36.00 / $47.67	Professional		$15.70	$36.00	$47.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $28.49 / $41.64	Professional		$23.85	$28.49	$41.64
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $25.34 / $28.59	Professional		$22.36	$25.34	$28.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $87.66 / $91.19	Facility		$33.34	$87.66	$91.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $29.59 / $68.50	Professional		$17.54	$29.59	$68.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $23.78 / $44.64	Professional		$20.01	$23.78	$44.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $39.21 / $47.86	Facility		$39.21	$39.21	$47.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $20.76 / $36.97	Professional		$11.42	$20.76	$36.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $22.08 / $23.52	Professional		$21.84	$22.08	$23.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.29 / $39.15	Professional		$14.45	$25.29	$39.15