Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $74.11 / $141.66	Facility		$26.35	$74.11	$141.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $55.00 / $125.71	Professional		$38.52	$55.00	$125.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $33.75 / $79.62	Professional		$33.75	$33.75	$79.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $65.51 / $416.77	Facility		$55.75	$65.51	$416.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $47.32 / $8,639.91	Facility		$40.22	$47.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.60 / $54.60	Facility		$37.56	$54.60	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $84.65 / $279.50	Facility		$19.66	$84.65	$279.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $63.62 / $400.15	Facility		$55.75	$63.62	$400.15
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.04	Professional		$39.81	$39.81	$57.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $62.54 / $234.71	Facility		$24.91	$62.54	$234.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $53.91 / $118.92	Professional		$38.63	$53.91	$118.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $441.84 / $460.37 / $1,003.93	Facility		$441.84	$460.37	$1,003.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.60 / $54.60	Facility		$37.56	$54.60	$54.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $43.51	Facility		$37.50	$37.50	$43.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $43.51	Professional		$37.50	$37.50	$43.51
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $57.62 / $72.03	Professional		$49.05	$57.62	$72.03