Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $77.55 / $143.19	Facility		$59.84	$77.55	$143.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $64.41 / $91.43	Professional		$49.44	$64.41	$91.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $76.44 / $76.44 / $76.44	Professional	25	$76.44	$76.44	$76.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.64 / $98.58	Professional		$50.00	$60.64	$98.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $73.13 / $100.00	Professional		$57.46	$73.13	$100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $81.06 / $123.68	Professional		$75.62	$81.06	$123.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $68.34 / $126.26	Professional		$38.00	$68.34	$126.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $99.49 / $110.42	Professional		$73.40	$99.49	$110.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $120.00 / $120.00	Facility		$109.72	$120.00	$120.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $77.20 / $90.26	Professional		$66.25	$77.20	$90.26
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $74.23 / $74.23 / $74.23	Professional	25	$74.23	$74.23	$74.23
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $73.13 / $92.29	Professional		$41.91	$73.13	$92.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $82.17 / $168.46	Facility		$57.93	$82.17	$168.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $72.25 / $112.36	Professional		$51.95	$72.25	$112.36
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $76.44 / $76.44 / $76.44	Professional	25	$76.44	$76.44	$76.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $72.23 / $87.44	Professional		$35.25	$72.23	$87.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $65.93 / $86.15	Professional		$35.25	$65.93	$86.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $68.34 / $126.26	Professional		$36.00	$68.34	$126.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $38.20 / $68.17	Facility		$37.92	$38.20	$68.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $62.86 / $70.20	Professional		$45.90	$62.86	$70.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $72.23 / $128.24	Professional		$41.40	$72.23	$128.24