Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $81.84 / $520.79	Facility		$38.72	$81.84	$520.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.75 / $55.72	Professional		$18.57	$30.75	$55.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $25.58 / $48.04	Professional		$18.64	$25.58	$48.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $33.86 / $61.85	Professional		$29.44	$33.86	$61.85
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $38.01 / $59.86	Professional		$29.28	$38.01	$59.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $41.81 / $55.00	Facility		$30.00	$41.81	$55.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.42 / $60.00	Professional		$19.57	$32.42	$60.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $40.00 / $42.50	Professional		$28.25	$40.00	$42.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $30.17 / $75.00	Facility		$21.56	$30.17	$75.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $28.52 / $47.15	Professional		$21.78	$28.52	$47.15
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $94.31	Facility		$32.14	$32.14	$94.31
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.86 / $51.19	Professional		$28.68	$33.86	$51.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $81.84 / $504.00	Facility		$38.72	$81.84	$504.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.79 / $66.13	Professional		$20.42	$41.79	$66.13
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $40.00 / $50.34	Professional		$28.40	$40.00	$50.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $379.05 / $598.50	Facility		$165.51	$379.05	$598.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $40.00 / $50.00	Professional		$28.71	$40.00	$50.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $41.81 / $55.00	Facility		$30.00	$41.81	$55.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.59 / $62.93	Professional		$19.44	$32.59	$62.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $26.30 / $45.44	Facility		$23.14	$26.30	$45.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $43.20 / $45.44	Professional		$23.14	$43.20	$45.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $40.00 / $54.75	Professional		$25.79	$40.00	$54.75