Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $105.23 / $137.69	Facility		$65.91	$105.23	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $30.94 / $38.68	Professional		$19.82	$30.94	$38.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $26.61	Professional		$13.31	$13.31	$26.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.61 / $34.97	Professional		$17.30	$26.61	$34.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $185.55 / $262.35	Facility		$133.32	$185.55	$262.35
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $20.76 / $20.76	Professional		$20.76	$20.76	$20.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $44.28 / $61.77	Facility		$44.28	$44.28	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $28.39 / $54.23	Professional		$15.70	$28.39	$54.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $35.92 / $50.56	Professional		$15.84	$35.92	$50.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $69.41 / $134.80	Facility		$65.94	$69.41	$134.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $68.94	Professional		$68.94	$68.94	$68.94
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $22.12 / $30.33	Professional		$17.30	$22.12	$30.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $109.90 / $133.37	Facility		$65.91	$109.90	$133.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $30.94 / $109.90	Professional		$21.02	$30.94	$109.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $39.38 / $53.22	Professional		$22.62	$39.38	$53.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $44.28 / $61.77	Facility		$44.28	$44.28	$61.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $30.22 / $59.99	Professional		$15.70	$30.22	$59.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $37.45	Professional		$26.61	$26.61	$37.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $26.61 / $41.68	Professional		$15.97	$26.61	$41.68