Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $42.56 / $47.68	Facility		$13.63	$42.56	$47.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $12.69 / $16.55	Professional		$5.81	$12.69	$16.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.77 / $24.34	Professional		$9.51	$12.77	$24.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $10.84 / $15.15	Professional		$4.16	$10.84	$15.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $15.37 / $26.40	Professional		$13.06	$15.37	$26.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $11.90 / $22.73	Professional		$3.20	$11.90	$22.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $20.27 / $30.34	Professional		$14.28	$20.27	$30.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.80 / $376.25	Facility		$15.60	$15.80	$376.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $13.23 / $16.95	Professional		$11.01	$13.23	$16.95
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.84 / $14.34	Professional		$8.67	$10.84	$14.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $30.40 / $47.68	Facility		$13.98	$30.40	$47.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.79 / $22.12	Professional		$9.86	$13.79	$22.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $12.73 / $17.22	Professional		$4.25	$12.73	$17.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $11.74 / $16.23	Professional		$4.25	$11.74	$16.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $11.55 / $21.17	Professional		$3.20	$11.55	$21.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $13.07 / $14.65	Facility		$4.42	$13.07	$14.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $48.60 / $48.60	Professional		$13.07	$48.60	$48.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $14.53 / $24.51	Professional		$4.66	$14.53	$24.51